Prior to an amniocentesis, what action by the client will need to be completed?
Empty the bladder.
Nothing by mouth for 4 hours.
Ingest 3-liters of water.
Nipple stimulation.
The Correct Answer is A
Choice A rationale:
Before an amniocentesis, it is essential for the client to empty their bladder. A full bladder can interfere with the procedure, as it may obstruct the needle's entry into the uterus and increase the risk of accidental bladder puncture.
Choice B rationale:
Nothing by mouth (NPO) for 4 hours is not necessary for an amniocentesis. It is a relatively simple and quick procedure that does not require fasting.
Choice C rationale:
Ingesting 3 liters of water is not indicated before an amniocentesis. While some ultrasound examinations may require a full bladder, this is not the case for an amniocentesis.
Choice D rationale:
Nipple stimulation is not relevant or necessary before an amniocentesis. Nipple stimulation can trigger uterine contractions, which might be undesirable before the procedure, especially if the client is not in labor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Hormonal changes play a significant role in postpartum depression. After childbirth, there is a rapid decline in estrogen and progesterone levels, which can lead to mood fluctuations and depressive symptoms. Understanding this hormonal aspect is crucial for the nurse to address postpartum depression risk factors.
Choice B rationale:
Increased social support systems would be considered a protective factor against postpartum depression rather than a risk factor. Having strong social support can help mitigate the risk of developing postpartum depression.
Choice C rationale:
High self-esteem is not typically a risk factor for postpartum depression. In fact, individuals with higher self-esteem may be more resilient in coping with the challenges of postpartum period.
Choice D rationale:
Being a mother of two other children is not inherently a risk factor for postpartum depression. While having multiple children can be demanding, it does not directly increase the risk of developing postpartum depression. The hormonal changes and individual circumstances play more significant roles.
Correct Answer is D
Explanation
Choice A rationale:
Checking the newborn's temperature every 8 hours is not directly related to managing hyperbilirubinemia or phototherapy. Monitoring the newborn's temperature is important, but it should be done more frequently, especially during phototherapy, as infants are at risk of developing hypothermia.
Choice B rationale:
Applying moisturizing lotion to the newborn's skin every 4 hours is not a necessary intervention for hyperbilirubinemia or phototherapy. While skin care is important for all newborns, it is not a specific intervention for this condition.
Choice C rationale:
Giving the newborn 1 oz of glucose water every 4 hours is not an appropriate intervention for hyperbilirubinemia. Glucose water is not a recommended treatment for this condition.
Instead, phototherapy helps break down the bilirubin and promote its elimination from the body.
Choice D rationale:
Repositioning the newborn every 2 to 3 hours is the correct intervention. Repositioning helps ensure even exposure of the baby's skin to the phototherapy lights, maximizing its effectiveness in reducing bilirubin levels. Additionally, repositioning prevents pressure ulcers and promotes comfort for the infant during treatment.
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