When preparing a woman for an amniocentesis, the nurse would instruct her to perform which action?.
Swallow the preprocedure sedative.
Empty the bladder.
Shower with an antiseptic scrub.
Lie on the left side.
The Correct Answer is B
Swallowing a preprocedure sedative is not typically required for an amniocentesis. Sedatives can affect the mother and the fetus, and are usually avoided unless absolutely necessary.
Choice B rationale:
Emptying the bladder is important before an amniocentesis. A full bladder can push against the uterus, increasing the risk of puncturing the bladder during the procedure.
Choice C rationale:
Showering with an antiseptic scrub is not typically required before an amniocentesis. The area of the abdomen where the needle will be inserted is usually cleaned with an antiseptic by the healthcare provider.
Choice D rationale:
Lying on the left side is not typically required for an amniocentesis. The procedure is usually performed with the woman lying on her back.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
A respiratory rate of 10 breaths/minute is low and could indicate magnesium toxicity.
Choice B rationale:
Difficulty in arousing could also indicate magnesium toxicity.
Choice C rationale:
Urinary output of 20 mL per hour is low and could indicate renal impairment.
Choice D rationale:
Deep tendon reflexes of 2+ would be considered normal and therefore a therapeutic level of the drug.
Correct Answer is D
Explanation
Choice A rationale:
Notifying the primary care provider is important but not the immediate next step. The nurse has other immediate responsibilities to ensure the safety of the mother and baby.
Choice B rationale:
A vaginal exam could introduce bacteria into the uterus and is not the immediate next step after rupture of membranes.
Choice C rationale:
Changing the linen saver pad is not the immediate next step. While it might be necessary for the comfort of the mother, it does not address the potential risks associated with rupture of membranes.
Choice D rationale:
Checking the fetal heart rate is the correct next step. This ensures that the baby is not in distress following the rupture of membranes.
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