The clinic nurse is measuring the uterine fundal height of a client at 36 weeks gestation lying in a supine position. The client suddenly reports dizziness, and the nurse observes pallor and damp, cool skin. What should the nurse do first?

Listen to the fetal heart rate.

Assess the client’s recent food and fluid intake.

Check the client’s blood pressure and pulse.

Turn the client to a lateral position.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Evaluating the fetal heart rate does not address maternal symptoms of supine hypotensive syndrome. Moving the client first corrects the underlying issue. Fetal evaluation can follow once maternal circulation improves, ensuring both are assessed.

Choice B rationale

Checking recent food and fluid intake does not immediately address the likely cause of supine hypotensive syndrome. Correcting maternal positioning is urgent to improve venous return and prevent adverse effects, then other assessments can follow.

Choice C rationale

Measuring blood pressure and pulse can confirm hypotension but does not address its cause. Immediate repositioning to lateral position alleviates the compression on the inferior vena cava, improving blood flow before measuring vitals.

Choice D rationale

Turning to a lateral position relieves the vena cava from compression by the gravid uterus, reducing symptoms of supine hypotensive syndrome. This action improves venous return, stabilizing maternal hemodynamics and alleviating dizziness and pallor.

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Correct Answer is D

Explanation

Choice B rationale: Ceftriaxone does not commonly cause dark urine or a metallic taste. These side effects are typically associated with other antibiotics, like metronidazole. The nurse should provide accurate information about medication side effects to maintain client trust.

Choice C rationale: Azithromycin absorption is not significantly affected by calcium intake. Unlike tetracyclines, which bind with calcium and reduce efficacy, azithromycin’s pharmacokinetics remain stable, ensuring the medication effectively treats the infection.

Choice D rationale: Discussing options for notifying sexual partners is essential for preventing the spread of sexually transmitted infections. It ensures that partners can seek testing and treatment, reducing the risk of re-infection and promoting overall community health.

A. You should not eat or drink for 8 hours before the test. B. It is a screening test so it does not actually diagnose anomalies. C. Since you have no chronic illnesses, your test results should be fine. D. You will be on bed rest for 4 hours after the test.

Correct Answer is B

Explanation

Choice A rationale

Fasting for 8 hours before the AFP test is not required. This misinformation might cause unnecessary patient anxiety. Understanding test protocols helps in providing accurate and reassuring patient education, reducing pre-test stress.

Choice B rationale

AFP test is a screening tool to identify potential anomalies such as neural tube defects or chromosomal abnormalities. It does not provide a definitive diagnosis but indicates if further diagnostic testing is warranted for confirming anomalies.

Choice C rationale

Absence of chronic illnesses does not guarantee normal AFP test results. This statement is misleading, as AFP levels can be affected by a variety of factors, including gestational age and fetal conditions, requiring comprehensive analysis.

Choice D rationale

Bed rest is not necessary after an AFP test. This misinformation may cause unnecessary concern or inconvenience for the patient. Proper understanding of post-test care helps in providing correct patient instructions and alleviating fears.

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The clinic nurse is measuring the uterine fundal height of a client at 36 weeks gestation lying in a supine position. The client suddenly reports dizziness, and the nurse observes pallor and damp, cool skin. What should the nurse do first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Scenario: A nurse is caring for a 27-year-old female client in the clinic who is presumptively pregnant. Exhibits The nurse is teaching the client about the treatment plan. Which statement by the nurse would be appropriate?

Correct Answer is D

Explanation

A nurse is providing teaching to a client who is scheduled for an alpha-fetoprotein (AFP) test. Which of the following statements should the nurse include?

Correct Answer is B

Explanation

The nurse reviews a client’s antepartum nonstress test results as reactive. The nurse interprets this finding as:

The nurse is interviewing a client who is pregnant in her first trimester, and the client inquires about their gestational age. The nurse understands which assessment will provide the most accurate gestational age?

The antepartum clinic nurse is triaging telephone messages from four clients. Which call should the nurse return first?

The nurse is caring for a client who is experiencing nausea associated with her pregnancy. The nurse should recommend that the client:

A 28-year-old female presents to the obstetrics office, suspecting she may be pregnant. Which of the following would the nurse recognize as a presumptive sign of pregnancy?

The clinic nurse is measuring the uterine fundal height of a client at 36 weeks gestation lying in a supine position. The client suddenly reports dizziness, and the nurse observes pallor and damp, cool skin. What should the nurse do first?

A nurse is providing teaching to a client about the gastrointestinal and genitourinary changes of pregnancy. Which of the following information should the nurse include?

Scenario: A nurse is caring for a 27-year-old female client in the clinic who is presumptively pregnant. Exhibits The nurse reviews the client's laboratory results. The nurse understands that the client is most likely experiencing which condition? Select all that apply.