A nurse is teaching a client who is at 38 weeks of gestation about a contraction stress test. Which of the following statements should the nurse include in the teaching?

"You will receive a dose of misoprostol to initiate contractions.

"I will apply an external fetal heart rate monitor during the test."

“I will give you a terbutaline injection after the test."

“I will apply an oxygen face mask during the test

Answer and Explanation

The Correct Answer is B

Rationale:

A. "You will receive a dose of misoprostol to initiate contractions.": Misoprostol is used for cervical ripening and induction of labor, not for a contraction stress test. A CST uses nipple stimulation or low-dose oxytocin to produce mild contractions. Using misoprostol would create strong, prolonged contractions that could endanger the fetus.

B. "I will apply an external fetal heart rate monitor during the test.": A contraction stress test evaluates how the fetal heart rate responds to contractions. External fetal monitoring is required to record the fetal heart pattern and contraction frequency, allowing the provider to assess for late decelerations that indicate uteroplacental insufficiency. This reflects accurate and essential teaching for the procedure.

C. "I will give you a terbutaline injection after the test.": Terbutaline is a tocolytic used to stop contractions, but it is not routinely administered after a CST. The contractions produced during a CST are mild and temporary, and terbutaline is only given if excessive contractions occur, which is not expected in normal testing.

D. "I will apply an oxygen face mask during the test.": Oxygen is not routinely administered during a CST because the goal is to observe how the fetus tolerates normal physiologic contractions. Oxygen is used only if fetal distress occurs, so including it in routine teaching suggests an incorrect understanding of the procedure.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C,D,B,A

Explanation

Rationale:

A. Sits steadily unsupported: Sitting independently is typically achieved around 7–9 months. It indicates advanced trunk control and balance, preparing the infant for crawling and further mobility.

B. Changes from prone to sitting: Moving from a prone (lying on the stomach) position to a sitting position develops around 6–8 months. This milestone requires coordinated strength in the neck, back, and abdominal muscles.

C. Rolls from back to abdomen: This is typically the first major gross motor milestone in infancy, usually occurring around 4–6 months. It demonstrates early trunk and neck muscle development.

D. Rolls from back to side: After mastering rolling from back to abdomen, infants usually roll from back to side, around 4–6 months as well. This skill shows increasing control of torso movements.

A. Allow extra time for the client to perform tasks B. Touch the client gently to announce presence C. Keep objects in the client's room in the same place D. Ensure there is high-wattage lighting in the client's room E. Approach the client from the side

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

Explanation

Rationale:

A. Allow extra time for the client to perform tasks: Clients with vision loss may need additional time to orient themselves, perform activities of daily living, and navigate safely. Allowing extra time supports independence and reduces the risk of injury or frustration.

B. Touch the client gently to announce presence: Gently touching the client on the arm or shoulder before speaking helps prevent startling them and provides a clear cue that someone is nearby. This enhances safety and effective communication for clients with impaired vision.

C. Keep objects in the client's room in the same place: Consistently organizing personal items and equipment in fixed locations helps clients with vision loss locate items safely and reduces the risk of tripping or injury. This is an essential component of creating a safe environment.

D. Ensure there is high-wattage lighting in the client's room: Excessive or harsh lighting can cause glare, which may worsen visual difficulties for clients with certain types of vision loss. Appropriate lighting should be sufficient but not overly bright, emphasizing contrast rather than intensity.

E. Approach the client from the side: Approaching from the side may startle a client with vision loss. It is safer and more effective to approach from the front while identifying oneself to maintain clear communication and orientation.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is teaching a client who is at 38 weeks of gestation about a contraction stress test. Which of the following statements should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C,D,B,A

Explanation

A nurse is caring for a client who has vision loss. Which of the following actions should the nurse take? (Select all that apply)

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

Explanation

A nurse is planning care for a client who has terminal cancer and is nearing the end of life. Which of the following interventions should the nurse include?

A home health nurse is caring for an older adult client who reports. "I keep coughing when I try to swallow my food, but not at other times." Which of the following actions should the nurse take?

A nurse is providing dietary teaching to the guardian of a preschooler who has a new diagnosis of celiac disease. Which of the following statements by the guardian indicates an understanding of the teaching?

A nurse is assessing the skin turgor of an older adult client. In which of the following areas should the nurse lift the skin?

A nurse is caring for a client who tells the nurse that he feels he is being discharged from the facility too soon. Which of the following statements by the nurse demonstrates client advocacy?

The nurse is continuing to care for the child. Exhibits Select the 3 priority actions that the nurse should take.

A nurse is caring for a client who has diabetic ketoacidosis. Which of the following findings should the nurse expect?

A nurse is caring for a client who is receiving oxytocin and notes that the electronic fetal monitor shows persistent late decelerations. Which of the following actions should the nurse take?