A nurse is planning care for a client prior to an amniocentesis. Which of the following actions should the nurse include in the plan of care?

Place the client in Trendelenburg position during the procedure.

Instruct the client to maintain a full bladder for the procedure.

Administer a tocolytic 30 min before the procedure.

Monitor the fetal heart rate throughout the procedure.

Answer and Explanation

The Correct Answer is D

A. Place the client in Trendelenburg position during the procedure – Incorrect, as amniocentesis is typically performed with the client in a supine position.

B. Instruct the client to maintain a full bladder for the procedure – This is required for an early pregnancy amniocentesis (before 20 weeks), but for later procedures, the bladder should be empty.

C. Administer a tocolytic 30 min before the procedure – Not routinely necessary unless the client is at risk for preterm labor.

D. Monitor the fetal heart rate throughout the procedure – Correct, as amniocentesis carries a risk of fetal distress, and continuous monitoring ensures immediate detection of complications.

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Correct Answer is C

Explanation

A. Isopropyl alcohol can damage the hearing aid.

B. Battery life varies, and replacement should be based on performance rather than a set timeframe.

C. This is the correct answer. Disconnecting the battery when not in use preserves battery life.

D. Cotton swabs can push wax deeper into the ear canal.

A. "I'll place him in the back seat facing the back seat." B. "I'll place him in the front seat facing the front of the car." C. "I’ll place him in the back seat facing the back of the front seat." D. "I’ll place him in the front seat facing the back of the car.”

Correct Answer is A

Explanation

A. "I'll place him in the back seat facing the back seat." – This is the correct answer. Infants should always ride in a rear-facing car seat in the back seat until at least 2 years of age.

B. "I'll place him in the front seat facing the front of the car." – The front seat is not safe for infants due to airbag deployment risks.

C. "I’ll place him in the back seat facing the back of the front seat." – This wording is unclear, but the safest position is directly facing the back of the car.

D. "I’ll place him in the front seat facing the back of the car.” – Infants should not be placed in the front seat, even if rear-facing.

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A nurse is planning care for a client prior to an amniocentesis. Which of the following actions should the nurse include in the plan of care?

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Naxlex Comprehensive Predictor Exams

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