A nurse is caring for a client who has gestational diabetes and is scheduled for an amniocentesis at 37 weeks of gestation due to suspected fetal compromise. What is the nurse’s best response to the client’s question as to why the amniocentesis test is being done?

“To determine fetal lung maturity.”.

“To assess the degree of fetal renal function.”.

“To test the amniotic fluid glucose level.”.

“To detect the presence of fetal congenital anomalies.”.

Answer and Explanation

The Correct Answer is A

Choice A reason:
At 37 weeks, especially in gestational diabetes, fetal lungs may still be immature. Amniocentesis checks lung maturity to ensure the baby can breathe effectively if early delivery is needed due to fetal compromise.

Choice B reason:
Fetal renal function is not typically assessed through amniocentesis at term. Kidney function is monitored via ultrasound, not by analyzing amniotic fluid at 37 weeks.

Choice C reason:
Amniotic fluid glucose levels are not used to manage gestational diabetes. Maternal blood glucose is the standard for monitoring and treatment.

Choice D reason:
Congenital anomalies are usually detected earlier in pregnancy. By 37 weeks, the focus of amniocentesis is on delivery planning, not anomaly detection.

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Correct Answer is A

Explanation

The correct answer is choice A. “Your labor may slow down if you receive an epidural now.” An epidural is a type of regional anesthesia that blocks pain in a specific area of the body.

It can be used to reduce pain during labor and delivery.

However, an epidural can also have some side effects, such as lowering blood pressure, causing fever, and slowing down labor progress.

Therefore, it is usually recommended to wait until the cervix is at least 4 to 5 cm dilated and the contractions are strong and regular before receiving an epidural.

Choice B is wrong because there is no fixed rule about how dilated the cervix needs to be before receiving an epidural.

Some women may receive an epidural earlier or later than others, depending on their pain level, medical history, and preferences.

Choice C is wrong because catheterization is not a prerequisite for receiving an epidural.

Catheterization is the insertion of a tube into the bladder to drain urine.

It may be done after receiving an epidural because the anesthesia can affect the ability to urinate.

However, it is not required before receiving an epidural.

Choice D is wrong because the station of the baby does not determine when a woman can have an epidural.

The station of the baby refers to how far the baby has descended into the pelvis.

It is measured in relation to the ischial spines, which are bony landmarks in the pelvis.

A positive station means that the baby is below the spines, while a negative station means that the baby is above the spines.

Zero station means that the baby is at the level of the spines.

The station of the baby does not affect the administration of an epidural, as long as there are no other complications or contraindications.

A. Mother’s ability to tolerate the discomfort of labor. B. Fetal lie. C. Well-being of the fetus. D. Maternal readiness for labor.

Correct Answer is C

Explanation

A nonstress test (NST) is a test in pregnancy that measures fetal heart rate and reaction to movement.Your pregnancy care provider performs a nonstress test to make sure the fetus is healthy and getting enough oxygen.It’s safe and painless, and gets its name because it puts no stress (nonstress) on you or the fetus.

Choice A is wrong because a nonstress test does not measure the mother’s ability to tolerate the discomfort of labor.A stress test is a different procedure that involves stimulating contractions and monitoring how the fetus responds.

Choice B is wrong because a nonstress test does not measure fetal lie, which is the position of the fetus in the uterus.

Fetal lie is usually determined by ultrasound or physical examination.

Choice D is wrong because a nonstress test does not measure maternal readiness for labor.A nonstress test typically happens after 28 weeks of pregnancy, when fetal heart rate starts reacting to movements.

Maternal readiness for labor is assessed by other factors, such as cervical dilation and effacement.

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A nurse is caring for a client who has gestational diabetes and is scheduled for an amniocentesis at 37 weeks of gestation due to suspected fetal compromise. What is the nurse’s best response to the client’s question as to why the amniocentesis test is being done?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a primigravida whose cervix is 2 cm dilated, 75% effaced, and the fetal presenting part is at +2 station. The patient says to the nurse, “I want an epidural now.Why won’t someone give me an epidural?” Which response is most appropriate for the nurse to make?

Correct Answer is A

Explanation

A client with a history of diabetes mellitus (T1 D) is 32 weeks pregnant.The client returns to the clinic for a scheduled ultrasound and non-stress test. What should the nurse expect the non-stress test to determine?

Correct Answer is C

Explanation

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