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?
"I will get oxytocin during this test.”
"During this test, I must not eat or drink anything.”
"This test will tell me if my baby has a genetic problem.”
"During this test, I will push a button if my baby moves.”
The Correct Answer is D
Choice A rationale:
Oxytocin is not typically administered during a nonstress test. Oxytocin is a hormone that induces or augments labor contractions; it is not used in nonstress testing, which monitors fetal heart rate and movement. The administration of oxytocin during nonstress testing would not be appropriate or necessary.
Choice B rationale:
Fasting is not required for a nonstress test. Nonstress testing involves attaching electronic fetal monitors to the mother's abdomen to measure the baby's heart rate and movement. It does not require the patient to abstain from eating or drinking. Imposing unnecessary restrictions on the client's diet could cause discomfort and anxiety, which is not conducive to an accurate assessment.
Choice C rationale:
Nonstress testing is used to evaluate the baby's heart rate response to its own movements. It does not diagnose genetic problems. Genetic testing, such as amniocentesis or chorionic villus sampling, is a different type of test used to detect genetic abnormalities in the fetus. Therefore, this statement does not reflect an understanding of the purpose of nonstress testing.
Choice D rationale:
This is the correct answer. Nonstress testing involves monitoring the baby's heart rate and movement. During the test, the mother pushes a button when she feels the baby move. This allows the healthcare provider to correlate fetal movements with changes in the baby's heart rate. An understanding of this process indicates that the client comprehends the purpose and procedure of the nonstress test.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
A. Incorrect. Releasing the tourniquet is a step that can be taken after advancing the catheter into the vein.
B. Incorrect. Retracting the stylet at this point could disrupt the position of the catheter and cause leakage or damage.
C. Incorrect. Flushing the catheter with saline is an appropriate step after ensuring the catheter is correctly placed in the vein.
D. Correct. After noting a blood return in the flashback chamber, the next step is to advance the catheter into the vein to ensure proper placement for intravenous access.
Correct Answer is D
Explanation
A. Penicillin G should be infused slowly over a period of 10 to 15 minutes to prevent adverse reactions such as seizures.
B. Incorrect. Checking for a sulfa allergy is not relevant to the administration of penicillin, as sulfa and penicillin are different types of antibiotics.
C. Incorrect. Refrigeration is not typically required for penicillin G after reconstitution.
D. IDiarrhea can be a sign of a serious condition called antibiotic-associated colitis, which requires immediate medical attention.
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