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 B
Explanation
Choice A rationale:
Bacterial vaginosis typically presents with a thin, grayish-white discharge with a fishy odor. It does not usually cause intense itching or dyspareunia.
Choice B rationale:
Candidiasis is characterized by a thick, white, cottage cheese-like vaginal discharge, intense itching, and dyspareunia. These symptoms align with the client’s presentation.
Choice C rationale:
Genital herpes simplex usually presents with painful blisters or ulcers in the genital area, not a thick, white discharge.
Choice D rationale:
Trichomoniasis often causes a frothy, yellow-green discharge with a fishy smell. Itching can occur, but the discharge is not typically thick and white.
Correct Answer is A
Explanation
Choice A rationale:
Physiologic anemia due to hemoglobin decrease does not cause dizziness when lying flat.
Choice B rationale:
A 50% increase in blood volume does not directly cause dizziness when lying flat.
Choice C rationale:
The gravid uterus can compress the vena cava when the woman lies flat, reducing blood flow to the heart and causing dizziness.
Choice D rationale:
Pressure of the presenting fetal part on the diaphragm can cause shortness of breath, but not dizziness.
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