A nurse is teaching a client who is pregnant about nonstress testing. Which of the following statements by the client indicates an understanding of the teaching?

"During this test, I must not eat or drink anything."

"During this test, I will push a button if my baby moves."

"I will get oxytocin during this test."

"This test will tell me if my baby has a genetic problem."

Answer and Explanation

The Correct Answer is B

A. "During this test, I must not eat or drink anything." – Incorrect. There are no dietary restrictions before a nonstress test (NST). In fact, eating may stimulate fetal movement.

B. "During this test, I will push a button if my baby moves." – Correct. The client is asked to press a button when fetal movement is felt to correlate with fetal heart rate accelerations.

C. "I will get oxytocin during this test." – Incorrect. Oxytocin is used in a contraction stress test (CST), not an NST.

D. "This test will tell me if my baby has a genetic problem." – Incorrect. The NST evaluates fetal well-being and oxygenation, not genetic conditions.

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Correct Answer is D

Explanation

A. Potassium level – Valproic acid does not significantly affect potassium levels, so this is not a necessary baseline test.

B. Thyroid function tests – Valproic acid is not known to significantly impact thyroid function, making this an unnecessary test.

C. Uric acid level – Uric acid levels are more relevant for conditions like gout, and valproic acid does not typically cause hyperuricemia.

D. Liver function tests – This is the correct answer because valproic acid is metabolized in the liver and can cause hepatotoxicity. Baseline liver function tests (LFTs) should be reviewed before starting the medication to assess liver health.

A. Report sudden, persistent headaches. B. Restrict fluid intake during times of stress. C. Apply cold compresses to painful areas. D. Avoid meningococcal immunizations.

Correct Answer is A

Explanation

A. Report sudden, persistent headaches. – Correct. Persistent headaches may indicate a stroke, a severe complication of sickle cell anemia due to vaso-occlusion.

B. Restrict fluid intake during times of stress. – Incorrect. Hydration is crucial to prevent sickling of red blood cells. Fluids should be increased, not restricted.

C. Apply cold compresses to painful areas. – Incorrect. Cold can cause vasoconstriction and worsen sickling. Warm compresses are recommended instead.

D. Avoid meningococcal immunizations. – Incorrect. Children with sickle cell anemia are at increased risk for infections and should receive all recommended vaccinations, including the meningococcal vaccine.

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A nurse is teaching a client who is pregnant about nonstress testing. Which of the following statements by the client indicates an understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

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