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

Answer and Explanation

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.

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Correct Answer is C

Explanation

Rationale:

A. Instructing the client about an autopsy is not the immediate priority and may not be appropriate at this sensitive time.

B. Informing the client about the law regarding naming the fetus is not a priority and may add unnecessary stress to the situation.

C. Providing photos of the fetus is the most appropriate action since it minimzes the trauma to the mother while providing closures.

D. Limiting the amount of time the fetus is in the client's room is not appropriate as when the mother needs more time with the fetus, she hsould be allowed to provide for closure

A. Massage the client's fundus. B. Empty the client's bladder. C. Provide oxygen to the client via nonrebreather face mask. D. Administer oxytocin to the client.

Correct Answer is A

Explanation

Rationale:

A. Massaging the client's fundus is the priority action to address excessive vaginal bleeding.

Massaging the fundus helps promote uterine contractions, which can help control bleeding by compressing blood vessels.

B. Emptying the client's bladder may be necessary to relieve pressure on the uterus, but it is not the first priority when addressing excessive bleeding.

C. Providing oxygen may be indicated if the client shows signs of hypoxia, but it is not the first action to address excessive vaginal bleeding.

D. Administering oxytocin may be necessary to help control bleeding, but massaging the fundus is the first step in managing postpartum hemorrhage.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

Explanation

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