A client with gestational diabetes is scheduled for an amniocentesis due to the fetus weighing an estimated 8 pounds (3629 grams) at 36-weeks gestation.
What information is being sought through this amniocentesis?

The maturity of the fetal lungs.

The presence of a neural tube defect.

Any chromosomal abnormalities.

The gender of the fetus.

Answer and Explanation

The Correct Answer is A

Choice A rationale

In the context of a fetus weighing an estimated 8 pounds at 36-weeks gestation in a client with gestational diabetes, an amniocentesis would most likely be performed to assess the maturity of the fetal lungs. This is because babies of mothers with gestational diabetes are at risk for

respiratory distress syndrome if delivered early, and the baby’s size may indicate that early delivery could be beneficial.

Choice B rationale

While amniocentesis can be used to detect neural tube defects, these are usually diagnosed earlier in pregnancy. Furthermore, there is no specific link between gestational diabetes, fetal weight, and neural tube defects that would make this the primary reason for performing an amniocentesis in this scenario.

Choice C rationale

Amniocentesis can be used to detect chromosomal abnormalities. However, these are typically screened for earlier in pregnancy and would not be directly related to the mother’s gestational diabetes or the estimated fetal weight.

Choice D rationale

The gender of the fetus can be determined through amniocentesis, but it can also be determined more simply through ultrasound. Therefore, it is unlikely that an amniocentesis would be performed for this purpose, especially considering the mother’s gestational diabetes and the baby’s size.

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Correct Answer is C

Explanation

The correct answer is Choice C.

Choice A rationale: Reviewing the pattern of the fetal heart rate is important but not the immediate first step when a client in active labor needs to use the restroom. The nurse should first assess the progress of labor.

Choice B rationale: Checking the client's bladder is necessary, especially if the bladder is full, as it can affect labor progress. However, the priority is to assess the cervix first to ensure the client is not in an advanced stage of labor before addressing bladder concerns.

Choice C rationale: Determining the dilation of the cervix is crucial. The need to use the restroom may indicate increased pressure from the presenting part of the fetus, suggesting rapid labor progression. This assessment will help determine if it is safe for the client to ambulate to the restroom or if other immediate actions are needed.

Choice D rationale: Testing the pH of the vaginal fluid can be part of assessing for the presence of amniotic fluid, but it is not the first step when a client in active labor expresses the need to use the restroom. Cervical assessment takes priority in this situation.

A. Remain on clear liquids until the vomiting subsides. B. Take nothing by mouth until there is no more nausea. C. Come to the clinic to be seen by a healthcare provider. D. Make an appointment at the clinic if a fever occurs.

Correct Answer is C

Explanation

Choice A rationale

While remaining on clear liquids until the vomiting subsides may seem like a reasonable approach, it may not be the best course of action for a pregnant woman who has been vomiting for 24 hours. This is because prolonged vomiting can lead to dehydration and electrolyte imbalances, which can be harmful to both the mother and the fetus.

Choice B rationale

Taking nothing by mouth until there is no more nausea is not advisable in this situation. Nausea can persist even after vomiting has stopped, and it’s important for the woman to stay hydrated and nourished.

Choice C rationale

The best course of action in this situation is for the woman to come to the clinic to be seen by a healthcare provider. This is because prolonged vomiting can lead to dehydration and electrolyte imbalances, which can be harmful to both the mother and the fetus. In addition, the healthcare provider can assess the woman’s condition and provide appropriate treatment.

Choice D rationale

Making an appointment at the clinic if a fever occurs is not the best advice in this situation. While it’s important to seek medical attention if a fever develops, the woman should not wait for this to happen before seeking help. Prolonged vomiting can lead to dehydration and electrolyte imbalances, which can be harmful to both the mother and the fetus, and should be addressed promptly.

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A client with gestational diabetes is scheduled for an amniocentesis due to the fetus weighing an estimated 8 pounds (3629 grams) at 36-weeks gestation.What information is being sought through this amniocentesis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a client who has been admitted in active labor. The cervix is dilated to 3 cm, 50% effaced, and the presenting part is at 0 station. An hour later, the client informs the nurse that she needs to use the restroom. What should be the nurse’s first course of action?

Correct Answer is C

Explanation

A client who is at 10-weeks gestation calls the clinic because she has been vomiting for the past 24 hours. The nurse determines that the client has no fever.What instruction should the nurse give to this client?

Correct Answer is C

Explanation

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A client with gestational diabetes is scheduled for an amniocentesis due to the fetus weighing an estimated 8 pounds (3629 grams) at 36-weeks gestation.
What information is being sought through this amniocentesis?