A nurse is reviewing the results of a biophysical profile for a client who is at 37 weeks of gestation. Which of the following findings indicates fetal well-being?

Amniotic fluid index of 1 cm

The fetus had four limb movements in 30 min.

Nonreactive nonstress test

The fetus had 20 seconds of sustained breathing movements in 30 min

Answer and Explanation

The Correct Answer is D

A. An amniotic fluid index (AFI) less than 5 cm indicates oligohydramnios and potential fetal compromise.
B. Fetal limb movements fewer than 3 in 30 minutes may be concerning; however, 4 movements suggest some activity but must be assessed with other parameters.
C. A nonreactive nonstress test suggests fetal distress or lack of fetal well-being.
D. Sustained fetal breathing movements of at least 20 seconds in 30 minutes indicate good fetal neurologic function and well-being.

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Correct Answer is D

Explanation

A. Water retention is not a common adverse effect of methylergonovine.
B. Tachycardia is not typically caused by methylergonovine; bradycardia or hypertension is more common.
C. Seizures are not a common side effect of this medication.
D. Hypertension is a known adverse effect of methylergonovine and requires close monitoring, especially in clients with preexisting hypertension.

A. Consistent crying B. Hand-to-mouth movements C. Rooting reflex D. Sucking motions E. The Babinski reflex

Correct Answer is ["B","C","D"]

Explanation

B. Hand-to-mouth movements are an early hunger cue as the newborn tries to self-soothe or indicate readiness to feed.

C. Rooting reflex is a classic early sign where the newborn turns their head toward the stimulus (like a nipple) indicating hunger.

D. Sucking motions suggest the newborn is preparing or ready to feed.

A. Consistent crying is a late hunger cue and can indicate distress if earlier cues are missed.

E. The Babinski reflex is a neurological reflex unrelated to hunger cues.

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A nurse is reviewing the results of a biophysical profile for a client who is at 37 weeks of gestation. Which of the following findings indicates fetal well-being?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who received methylergonovine to treat uterine atony in the fourth stage of labor. Which of the following findings should the nurse identify as an adverse effect of the medication?

Correct Answer is D

Explanation

A nurse is teaching a new guardian about hunger cues in their newborn. Which of the following manifestations should the nurse include as early indication of hunger in newborns? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

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