A nurse is preparing a client for a Contraction Stress Test (CST).
Which method can be used to induce uterine contractions during the test?
Nipple stimulation.
Intravenous oxytocin infusion.
Administering oral medications.
Applying warm compresses to the abdomen.
The Correct Answer is B
This method can be used to induce uterine contractions during the test by stimulating the uterus with a hormone that causes contractions.
Oxytocin is also the hormone that naturally triggers labor contractions.
Choice A is wrong because nipple stimulation can also induce contractions, but it is not as reliable or controllable as oxytocin infusion.
Choice C is wrong because oral medications are not used to induce contractions during a CST.
Some medications may interfere with the test results or cause side effects.
Choice D is wrong because applying warm compresses to the abdomen does not induce contractions.
It may help with pain relief or relaxation, but it does not affect the uterus.
Normal ranges for uterine contractions during a CST are three contractions in 10 minutes, each lasting 40 to 60 seconds.
Normal ranges for fetal heart rate during a CST are 110 to 160 beats per minute, with no decelerations after contractions.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A maternal serum alpha-fetoprotein test is a type of prenatal blood test that measures the levels of MSAFP in the blood of a pregnant person.The test helps the healthcare provider assess the baby’s risk of certain medical conditions, such as neural tube defects and chromosomal abnormalities.The test is usually done between 15 and 20 weeks of pregnancy.
A screening test means that it does not diagnose any health conditions, but only indicates the probability of having them.
A positive test means that the baby has a higher risk of having a birth defect, but it does not confirm it.
A negative test means that the baby has a lower risk of having a birth defect, but it does not rule it out.Further tests are needed to confirm or exclude the diagnosis.
A diagnostic test means that it can provide a definite diagnosis of a health condition.A maternal serum alpha-fetoprotein test is not a diagnostic test for spinal defects or chromosomal abnormalities in the fetus.
Statement A is wrong because it says that the test is a diagnostic test for spinal defects in the fetus, which is not true.
Statement C is wrong because it says that the test is a diagnostic test for chromosomal abnormalities in the fetus, which is not true.
Statement D is wrong because it says that the test is a screening test for chromosomal abnormalities in the fetus, which is only partially true.The test can screen for some chromosomal abnormalities, such as Down syndrome, but not all of them.
The test also screens for neural tube defects, which are not chromosomal abnormalities.
Normal ranges for MSAFP vary depending on the gestational age and the laboratory methods used.Generally, MSAFP levels increase until about 32 weeks of pregnancy and then decrease until delivery.
High levels of MSAFP may indicate neural tube defects, multiple pregnancies, incorrect dating of pregnancy, or other conditions.Low levels of MSAFP may indicate Down syndrome, other chromosomal abnormalities, or other conditions.
Correct Answer is A
Explanation
"NST is performed after 28 weeks of gestation or earlier if there are risk factors."12 This statement indicates that the client understands when and why an NST is done.
Choice B is wrong because it describes a reactive NST, not a nonreactive one.
A reactive NST means that the fetal heart rate increases by at least 15 beats per minute for at least 15 seconds twice or more in a 20-minute period.2
Choice C is wrong because it confuses NST with contraction stress test (CST), which requires monitoring uterine contractions.
NST does not involve contractions.2
Choice D is wrong because it describes possible causes of a nonreactive NST, not a reactive one.
A nonreactive NST may indicate fetal hypoxia, distress, sleep, medication effect, or neurological abnormality.2
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