A nurse in a prenatal clinic is caring for a group of clients. The nurse should recognize that which of the following clients has a contraindication for a contraction stress test?
A client who has gestational diabetes mellitus
A client who has a previous classical incision
A client who had a previous stillbirth
A client who had a nonreactive nonstress test
The Correct Answer is B
Rationale:
A. Gestational diabetes mellitus is not a contraindication for a contraction stress test. In fact, clients with gestational diabetes may require additional fetal monitoring due to the increased risk of fetal complications.
B. A previous classical incision, also known as a vertical uterine incision, increases the risk of uterine rupture during labor, making a contraction stress test contraindicated.
C. A previous stillbirth is not a contraindication for a contraction stress test. In fact, it may prompt additional fetal monitoring to assess for potential complications in subsequent pregnancies.
D. A nonreactive nonstress test may indicate the need for further evaluation with a contraction stress test; it is not a contraindication in itself.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Applying an ice pack to the incision site is not indicated for addressing vaginal bleeding after cesarean birth and may not effectively address the underlying cause.
B. Replacing the surgical dressing is not the first action to take when assessing vaginal bleeding after cesarean birth. The priority is to evaluate the client's condition and identify the cause of the bleeding.
C. Evaluating urinary output is important to assess for urinary retention, which can contribute to uterine atony and postpartum bleeding. A full bladder can interfere with uterine contraction and lead to increased bleeding.
D. Administering a lactated Ringer's IV bolus may be indicated if the client is hypovolemic due to excessive bleeding, but it is not the first action to take. Assessing urinary output and addressing potential causes of bleeding take precedence.
Correct Answer is B
Explanation
Rationale:
A. Polycythemia, an elevated red blood cell count, is not typically associated with forceps- assisted birth.
B. Facial palsy, or facial nerve injury, can occur as a complication of forceps-assisted birth due to pressure on the facial nerves during delivery.
C. Bronchopulmonary dysplasia is a lung condition primarily associated with premature birth and prolonged mechanical ventilation, not forceps-assisted birth.
D. Hypoglycemia may occur in newborns for various reasons but is not specifically associated with forceps-assisted birth unless there are other complicating factors such as maternal diabetes.
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