During a Non-Stress Test (NST), the client needs to press a button whenever they feel the fetus move.

What is the purpose of this action?

To measure the fetal heart rate (FHR) in response to fetal movements.

To monitor the uterine contractions.

To indicate adequate fetal oxygenation and normal fetal neurological function.

To assess fetal well-being and identify fetal hypoxia or distress.

Answer and Explanation

The Correct Answer is A

To measure the fetal heart rate (FHR) in response to fetal movements.

This is because the FHR should increase by at least 15 beats per minute for at least 15 seconds when the fetus moves, which indicates a healthy and reactive fetus.

This is called an acceleration.

Choice B is wrong because the uterine contractions are not related to the fetal movements or the button pressing.

The uterine contractions are measured by a tocodynamometer or an intrauterine pressure catheter.

Choice C is wrong because the fetal oxygenation and neurological function are not directly measured by the button pressing.

The fetal oxygenation can be assessed by the FHR variability and decelerations, while the neurological function can be evaluated by other tests such as biophysical profile or fetal acoustic stimulation.

Choice D is wrong because the fetal well-being and hypoxia or distress are not indicated by the button pressing alone.

The fetal well-being and hypoxia or distress are determined by the FHR patterns, such as baseline, variability, accelerations and decelerations.

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Correct Answer is A

Explanation

The woman should drink several glasses of water before the abdominal ultrasound procedure.

This is because a full bladder helps to push the intestines away and improve the visibility of the uterus and the fetus.

Drinking water also helps to avoid gas buildup in the abdomen, which could interfere with the sound waves.

Choice B is wrong because emptying the bladder would make it harder to see the uterus and the fetus.

Choice C is wrong because lying on the right side would not affect the quality of the ultrasound image.

Choice D is wrong because fasting is not necessary for an abdominal ultrasound, unless instructed by the doctor for a specific reason.

A. The client has Rh-negative blood type. B. The client has a history of preterm labor. C. The client has a history of gestational diabetes. D. The client has a history of placenta previa

Correct Answer is D

Explanation

The correct answer is choice D. The client has a history of placenta previa.

Placenta previa is a condition where the placenta covers all or part of the cervix, blocking the baby’s exit from the uterus.

This can cause severe bleeding during pregnancy and delivery and increase the risk of complications for both the mother and the baby.

Therefore, the nurse should report this condition to the provider before performing an amniocentesis.

Choice A is wrong because having Rh-negative blood type is not a contraindication for amniocentesis.

However, the client may need an injection of Rh immunoglobulin after the procedure to prevent Rh sensitization.

Choice B is wrong because having a history of preterm labor is not a contraindication for amniocentesis.

However, the client may need to be monitored closely for signs of preterm labor after the procedure.

Choice C is wrong because having a history of gestational diabetes is not a contraindication for amniocentesis.

However, the client may need to have their blood glucose levels checked before and after the procedure.

Amniocentesis is a diagnostic procedure that involves removing and testing a small sample of amniotic fluid from the uterus for genetic or chromosomal conditions, such as Down syndrome, Edwards syndrome or Patau syndrome.

It can also be used to diagnose fetal infections, treat excess amniotic fluid, or test fetal lung maturity

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During a Non-Stress Test (NST), the client needs to press a button whenever they feel the fetus move. What is the purpose of this action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing an abdominal ultrasound for a client who is at 28 weeks of gestation. The nurse should instruct the client to do which of the following before the procedure?

Correct Answer is A

Explanation

A nurse is caring for a client who is scheduled for an amniocentesis. Which of the following should the nurse report to the provider?

Correct Answer is D

Explanation

A nurse is providing education to a client who is scheduled to undergo chorionic villus sampling (CVS). Which statement by the client indicates an understanding of this test?

A nurse is caring for a client who has oligohydramnios and is undergoing a biophysical profile (BPP). The nurse should expect to see which of the following findings on the ultrasound?

A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation. The nurse provides which of the following explanations about this test to the client?

A nurse is teaching about fetal development to a group of clients in the antenatal clinic. Which of the following statements should the nurse include in the teaching?

A nurse is caring for a patient who had an amniocentesis performed at 16 weeks gestation and reports cramping and vaginal bleeding 24 hours later which action should be taken first?

A nurse is reviewing the contraindications for a Contraction Stress Test (CST) with a pregnant client. Which condition would be a contraindication for the test?

A nurse is educating a pregnant client about the Alpha-fetoprotein Test (AFP). What should the nurse include as a reason why AFP results are reported as multiples of the median (MoM)?

A nurse is educating a pregnant client about the Non-Stress Test (NST). Which statement by the client indicates understanding of the test?

During a Non-Stress Test (NST), the client needs to press a button whenever they feel the fetus move.

What is the purpose of this action?