A patient is scheduled for an amniocentesis when she is 18 weeks pregnant. Which instruction concerning amniocentesis should the nurse give to the patient?
Plan to remain flat in bed for six hours after the test.
Expect some vaginal bleeding after the test.
Empty your bladder prior to the test.
Do not consume any solid foods for sixteen hours prior to the test.
The Correct Answer is C
The correct answer is choice C. Empty your bladder prior to the test. This is because a full bladder can interfere with the insertion of the needle and increase the risk of complications. Amniocentesis is a test that involves removing and testing a small sample of cells from amniotic fluid, the fluid that surrounds the baby in the womb. It is done to check for genetic or chromosomal conditions, such as Down’s syndrome, Edwards’ syndrome or Patau’s syndrome.
Choice A is wrong because there is no need to remain flat in bed for six hours after the test. You can resume your normal activities after a few hours of rest.
Choice B is wrong because vaginal bleeding is not a normal outcome of amniocentesis. If you experience any bleeding, leaking of fluid, fever or severe pain after the test, you should contact your doctor immediately.
Choice D is wrong because there is no restriction on eating before the test. You can have your normal meals and drinks before amniocentesis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A rubella titer of 1:33 indicates a low level of immunity to rubella, which can be dangerous for a pregnant woman and her fetus.
Rubella is a viral infection that can cause birth defects or miscarriage if contracted during pregnancy.A rubella titer of 1:10 or higher is considered protective.
Choice B is wrong because a non-reactive serologic test for syphilis (STS) means that the patient does not have syphilis, which is a bacterial infection that can also harm the fetus if untreated.
Choice C is wrong because blood type A-negative does not require further assessment unless the patient has antibodies to the Rh factor, which can cause hemolytic disease of the newborn if the fetus is Rh-positive.
This can be prevented by giving the patient Rh immunoglobulin injections during pregnancy and after delivery.
Choice D is wrong because hemoglobin 12.2 gm/dL is within the normal range for a pregnant woman, which is 11 to 14 gm/dL.
Hemoglobin is the protein in red blood cells that carries oxygen.
A low hemoglobin level can indicate anemia, which can affect the oxygen delivery to the fetus and increase the risk of preterm labor or low birth weight.
Correct Answer is C
Explanation
This is because pregnancy-induced hypertension (PIH) can cause eclampsia, a condition characterized by seizures and coma.Eclampsia can occur during pregnancy, labor, or postpartum.
A nurse should monitor the client for signs of increased blood pressure, headache, blurred vision, epigastric pain, and hyperreflexia, which may indicate an impending convulsion.
Choice A is wrong because hemorrhage is not a common complication of PIH.
Hemorrhage may occur due to other causes such as uterine atony, lacerations, or retained placenta.
Choice B is wrong because urinary retention is not a common complication of PIH.
Urinary retention may occur due to other causes such as anesthesia, trauma, or infection.
Choice D is wrong because thrombophlebitis is not a common complication of PIH.
Thrombophlebitis is a condition where a blood clot forms in a vein and causes inflammation.
It may occur due to other risk factors such as immobility, dehydration, or injury.
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