A nurse is reinforcing teaching with a client who is at weeks of gestation and scheduled for a non-stress test (NST). Which of the following statements by the client indicates a need for further teaching?

I need to schedule the test when the baby is usually active

I have to lie on my back during the test

The baby’s heart rate will be monitored during the test

I will be able to go to the bathroom during the test if necessary

Answer and Explanation

The Correct Answer is B

Rationale for Choice A:
It is accurate that scheduling the NST when the baby is usually active is beneficial. This is because fetal movement is expected to cause accelerations in the fetal heart rate, which is a positive sign of fetal well-being.
By scheduling the test during a time of typical fetal activity, the chances of obtaining a reactive NST (a normal result) are increased.
Therefore, this statement does not indicate a need for further teaching.

Rationale for Choice B:
Lying on the back during the NST is not recommended.
This position can cause the weight of the uterus to compress the major blood vessels (the inferior vena cava and aorta), potentially reducing blood flow to the placenta and fetus.
Reduced blood flow can, in turn, lead to a decrease in fetal heart rate and movement.
To avoid this, the recommended position for NST is a semi-Fowler's position, which involves being partially reclined with the head and upper body elevated.
This position helps to promote uterine perfusion and prevent supine hypotension.

Rationale for Choice C:
It is accurate that the baby's heart rate will be monitored during the NST.
This is the primary purpose of the test: to assess the fetal heart rate response to fetal movement. Therefore, this statement does not indicate a need for further teaching.

Rationale for Choice D:
It is accurate that the client will be able to go to the bathroom during the NST if necessary. The test is noninvasive and does not require strict immobility.
The client can move around and use the bathroom as needed, as long as the fetal heart rate monitor is not disconnected.
Therefore, this statement does not indicate a need for further teaching.

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Correct Answer is E

Explanation

Choice A rationale:

Placenta previa is a condition in which the placenta covers all or part of the cervix. It's a serious complication that can cause heavy bleeding during pregnancy and childbirth. However, it's not a direct complication of maternal gestational diabetes.

Choice B rationale:

Newborn hypoglycemia is a condition in which a newborn's blood sugar levels are too low. It can occur in infants of mothers with gestational diabetes, but it's not the most common or significant complication associated with the condition.

Choice C rationale:

Oligohydramnios is a condition characterized by a low amount of amniotic fluid around the baby. It can be associated with maternal gestational diabetes, but it's not as common as other complications, such as macrosomia (large for gestational age baby).

Choice D rationale:

Small for gestational age (SGA) newborn refers to a baby who is smaller than expected for their gestational age. It can be caused by several factors, including restricted intrauterine growth, which can be associated with maternal gestational diabetes. However, it's not the most direct or common complication of the condition.

Choice E rationale:

Maternal gestational diabetes is a condition in which a woman develops high blood sugar levels during pregnancy. It's the most common metabolic complication of pregnancy and can lead to several serious health risks for both the mother and baby. These risks include:

Macrosomia (large for gestational age baby): High blood sugar levels in the mother can cause the baby to grow excessively large, leading to complications during labor and delivery, such as shoulder dystocia, birth injuries, and cesarean delivery. Preeclampsia: Gestational diabetes increases the risk of preeclampsia, a serious condition characterized by high blood pressure and protein in the urine. It can affect multiple organs, including the liver and kidneys, and can be life-threatening for both mother and baby.

Premature birth: Women with gestational diabetes are more likely to deliver their babies prematurely, which can lead to health problems for the baby, such as respiratory distress syndrome, feeding difficulties, and developmental delays.

Neonatal hypoglycemia: Newborns of mothers with gestational diabetes are at increased risk of hypoglycemia (low blood sugar) after birth due to the sudden withdrawal of maternal glucose supply. This can cause seizures, brain damage, and even death if not promptly treated.

Type 2 diabetes later in life: Both mother and child are at increased risk of developing type 2 diabetes later in life.

A. Scrambled eggs. B. A high fiber meal. C. Orange juice.

Correct Answer is C

Explanation

Choice A: Scrambled eggs

While eggs contain protein and iron, they do not significantly enhance iron absorption.

Consuming eggs alongside ferrous sulfate has not been shown to significantly improve iron uptake. Therefore, scrambled eggs are not the most effective choice to promote iron absorption from ferrous sulfate.

Choice B: A high fiber meal

High-fiber foods can interfere with iron absorption.

Fiber binds to iron, making it less available for absorption in the small intestine. Consuming ferrous sulfate with a high-fiber meal can potentially reduce its effectiveness.

Choice C: Orange juice

Orange juice is a rich source of vitamin C, which significantly enhances iron absorption.

Vitamin C converts non-heme iron (the form of iron in ferrous sulfate) into a more easily absorbed form.

Studies have shown that consuming vitamin C with iron supplements can increase iron absorption by up to 300%.

This makes orange juice the optimal choice to accompany ferrous sulfate, ensuring optimal absorption and effectiveness in treating iron deficiency anemia.

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A nurse is reinforcing teaching with a client who is at weeks of gestation and scheduled for a non-stress test (NST). Which of the following statements by the client indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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