A client is scheduled for a transvaginal ultrasound in two weeks.

The client asks the nurse what they should do to prepare for the test.

What is the best response by the nurse?

“The patient should have a full bladder for a transabdominal US and an empty bladder for a transvaginal US.”.

“The patient should wear tight-fitting clothing and lie prone on an examination table.”.

“The patient should wear loose-fitting clothing and lie supine on an examination table.”.

“The patient should wear loose-fitting clothing and lie prone on an examination table.”.

Answer and Explanation

The Correct Answer is A

“The patient should have a full bladder for a transabdominal US and an empty bladder for a transvaginal US.”1 This is because a full bladder helps to lift the uterus and improve the visibility of the pelvic organs in a transabdominal US, while an empty bladder prevents distortion of the image in a transvaginal US.

Choice B is wrong because tight-fitting clothing is not necessary and lying prone on an examination table is uncomfortable and may interfere with the insertion of the vaginal probe.

Choice C is wrong because loose-fitting clothing is not necessary and lying supine on an examination table may cause supine hypotension syndrome in pregnant women.

Choice D is wrong because loose-fitting clothing is not necessary and lying prone on an examination table is uncomfortable and may interfere with the insertion of the vaginal probe.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

This is because migraine headaches with aura are a contraindication for receiving oral contraceptives, as they increase the risk of stroke and other cardiovascular complications.

Some possible explanations for the other choices are:

Choice B: A 32-year-old client who has endometriosis.

This is not a contraindication for receiving oral contraceptives, as they can actually help reduce the symptoms of endometriosis by suppressing ovulation and reducing menstrual bleeding.

Choice C: A 28-year-old client who has polycystic ovary syndrome (PCOS).

This is not a contraindication for receiving oral contraceptives, as they can help regulate the menstrual cycle and lower the levels of androgens (male hormones) that cause acne, hirsutism (excess hair growth), and other problems in women with PCOS.

Choice D: A 22-year-old client who has irregular menstrual cycles.

This is not a contraindication for receiving oral contraceptives, as they can help normalize the menstrual cycle and prevent unintended pregnancy.

Normal ranges for oral contraceptive doses are:

Estrogen: 10 to 35 mcg of ethinyl estradiol or estradiol valerate

Progestin: varies depending on the type and brand of oral contraceptive

A. "NST is performed after 28 weeks of gestation or earlier if there are risk factors.". B. "A nonreactive NST means that the fetal heart rate increases by at least 15 beats per minute for at least 15 seconds twice or more in a 20-minute period.". C. . "NST requires placing two belts with sensors on my abdomen: one to monitor the fetal heart rate and one to monitor the uterine contractions.". D. "A reactive NST may indicate fetal hypoxia, distress, sleep, medication effect, or neurological abnormality.".

Correct Answer is A

Explanation

"NST is performed after 28 weeks of gestation or earlier if there are risk factors."12 This statement indicates that the client understands when and why an NST is done.

Choice B is wrong because it describes a reactive NST, not a nonreactive one.

A reactive NST means that the fetal heart rate increases by at least 15 beats per minute for at least 15 seconds twice or more in a 20-minute period.2

Choice C is wrong because it confuses NST with contraction stress test (CST), which requires monitoring uterine contractions.

NST does not involve contractions.2

Choice D is wrong because it describes possible causes of a nonreactive NST, not a reactive one.

A nonreactive NST may indicate fetal hypoxia, distress, sleep, medication effect, or neurological abnormality.2

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client is scheduled for a transvaginal ultrasound in two weeks. The client asks the nurse what they should do to prepare for the test. What is the best response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing contraception options for four clients. The nurse should identify that which of the following clients has a contraindication for receiving oral contraceptives?

Correct Answer is A

Explanation

A nurse is educating a pregnant client about the Non-Stress Test (NST). Which statement by the client indicates understanding of the test?

Correct Answer is A

Explanation

A nurse is reviewing the results of a Contraction Stress Test (CST) with a pregnant client. What does an equivocal CST indicate?

A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation. The nurse provides which of the following explanations about this test to the client?

A nurse is caring for a patient who had an amniocentesis performed at 16 weeks gestation and reports cramping and vaginal bleeding 24 hours later which action should be taken first?

A nurse is teaching about fetal development to a group of clients in the antenatal clinic. Which of the following statements should the nurse include in the teaching?

A nurse is educating a pregnant client about the Contraction Stress Test (CST). Which statement accurately describes a negative CST?

A nurse is caring for a patient who had an amniocentesis performed at 16 weeks gestation and reports cramping and vaginal bleeding 24 hours later. Which action should be taken first?

A nurse is caring for a client who is scheduled for chorionic villus sampling (CVS). Which of the following statements should indicate to the nurse that the client understands the procedure?

A nurse is discussing the risks associated with a Contraction Stress Test (CST) with a pregnant client. Which complication should the nurse mention?

A client is scheduled for a transvaginal ultrasound in two weeks.

The client asks the nurse what they should do to prepare for the test.

What is the best response by the nurse?