A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider?

Swelling of the face

Varicose veins in the calves

Nonpitting 1+ ankle edema

Hyperpigmentation of the cheeks

Answer and Explanation

The Correct Answer is A

The correct answer is A.

A. Swelling of the face: Facial swelling, especially sudden or severe swelling, could be a sign of preeclampsia, a serious pregnancy complication characterized by high blood pressure and organ dysfunction. Any new or significant facial swelling should be promptly reported to the healthcare provider for evaluation.

B. Varicose veins in the calves: Varicose veins are a common occurrence during pregnancy due to increased pressure on the veins. While they can cause discomfort, they are generally not considered a significant concern unless there are signs of complications, such as inflammation or blood clots.

C. Nonpitting 1+ ankle edema: Mild ankle edema is relatively common during pregnancy and may not be concerning unless it becomes severe, sudden, or is associated with other symptoms. Nonpitting edema is generally less concerning than pitting edema but should still be monitored.

D. Hyperpigmentation of the cheeks: Hyperpigmentation, often referred to as the "mask of pregnancy" or melasma, is a common and benign condition during pregnancy. While it may be bothersome to some individuals, it is not typically a concern that requires immediate reporting to the provider.

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Correct Answer is A

Explanation

The correct answer is A. Variable decelerations are due to umbilical cord compression.

A. Variable decelerations are often associated with umbilical cord compression. This compression can occur when the umbilical cord is briefly compressed or squeezed, leading to transient decreases in fetal heart rate.

B. Variable decelerations are not typically a result of the administration of IV narcotic analgesics. They are more commonly associated with cord compression or other factors affecting fetal oxygenation.

C. Variable decelerations are not generally caused by uteroplacental insufficiency. Uteroplacental insufficiency is more commonly associated with late decelerations.

D. Variable decelerations are not primarily related to fetal head compression. While head compression can cause certain types of decelerations, variable decelerations are specifically associated with umbilical cord compression.

A. Maintain the client NPO throughout the procedure. B. Place the client in a supine position, C. Instruct the client to massage the abdomen to stimulate fetal movement D. Instruct the client to press the provided button each time fetal movement is detected

Correct Answer is D

Explanation

The correct answer is D.

A. Maintain the client NPO throughout the procedure: It is not necessary to maintain the client NPO (nothing by mouth) for a nonstress test. The test primarily involves monitoring fetal heart rate in response to the baby's movements and does not require fasting.

B. Place the client in a supine position: Placing the client in a left lateral position is often preferred for NST to optimize uterine blood flow and fetal oxygenation. The supine position can compromise blood flow to the uterus and is generally avoided, especially in later pregnancy.

C. Instruct the client to massage the abdomen to stimulate fetal movement: While the goal of the NST is to monitor fetal movements, instructing the client to actively stimulate fetal movement through abdominal massage is not a standard part of the procedure. Fetal movements should occur naturally.

D. Instruct the client to press the provided button each time fetal movement is detected: This is the correct action. During a nonstress test, the client is typically provided with a button to press whenever she feels fetal movement. This helps correlate fetal movements with changes in the fetal heart rate on the monitor, providing valuable information about the baby's well-being.

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A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?

Correct Answer is A

Explanation

A nurse is planning care for a client who is to undergo a nonstress test. Which of the following actions should the nurse include in the plan of care?

Correct Answer is D

Explanation

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