The nurse is teaching parents about antepartum testing. Which statements should the nurse include?
Amniocentesis may be used to assess if you have preeclampsia.
A non-stress test may be used to measure fetal heart rate.
Chorionic villus sampling may be done to assess for neural tube defects.
You may need to fill up your bladder prior to an ultrasound.
Oral Glucose tolerance testing will measure fetal activity at certain intervals.
Correct Answer : B,D
Choice A rationale
Amniocentesis assesses fetal lung maturity, genetic disorders, and infections, not preeclampsia. Preeclampsia diagnosis involves blood pressure, proteinuria, and other lab tests. Normal blood pressure: <120/80 mm Hg. Proteinuria: >300 mg/day.
Choice B rationale
A non-stress test measures fetal heart rate response to movements, evaluating fetal well-being. Normal fetal heart rate: 110-160 bpm. Accelerations: 15 bpm increase for at least 15 seconds.
Choice C rationale
Chorionic villus sampling assesses chromosomal abnormalities, genetic disorders, not neural tube defects. Neural tube defect screening: maternal serum alpha-fetoprotein levels, ultrasound. Normal alpha-fetoprotein: 0.5-2.5 MoM.
Choice D rationale
A full bladder helps lift the uterus for better visualization during ultrasound, especially in early pregnancy. This improves image quality for assessing fetal development and other structures.
Choice E rationale
Oral glucose tolerance test assesses gestational diabetes by measuring blood glucose levels, not fetal activity. Normal fasting blood glucose: <95 mg/dL. 1-hour post-glucose: <180 mg/dL.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is ["A","C","D"]
Explanation
Choice B rationale: Pre-eclampsia is characterized by high blood pressure and protein in the urine after 20 weeks of pregnancy. The client's urine protein is negative, and she is only presumptively pregnant at this stage, making pre-eclampsia unlikely.
Choice C rationale: The detection of Gonorrhea in the client's urine sample indicates an active infection. Gonorrhea is a sexually transmitted infection that can cause symptoms such as vaginal discharge, burning with urination, and increased urinary frequency, which the client is experiencing.
Choice D rationale: Pyelonephritis, a severe urinary tract infection, is indicated by the presence of many bacteria and positive nitrites in the urine, along with symptoms like fever and flank pain. The client’s urine test results and symptoms suggest pyelonephritis.
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