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A nurse is assisting with a nonstress test (NST) on a client who is at 36 weeks of gestation and asks "What are you looking for during this test?" Which of the following responses should the nurse make?

"We are looking for increases in fetal heart rate of 15/min for at least 15 seconds. This means the baby is doing well."

"We will draw blood to evaluate the baby's risk of genetic problems."

"I am looking at the ultrasound to see if the baby has any congenital anomalies."

"If the baby moves 5 times in 15 minutes, then the baby is healthy."

Answer and Explanation

The Correct Answer is A

A. "We are looking for increases in fetal heart rate of 15/min for at least 15 seconds. This means the baby is doing well." – Correct; a reactive NST shows at least two accelerations of 15 bpm lasting at least 15 seconds within 20 minutes, indicating fetal well-being.
B. "We will draw blood to evaluate the baby's risk of genetic problems." – Incorrect; an NST does not involve blood work; genetic testing is done through amniocentesis or blood screening.
C. "I am looking at the ultrasound to see if the baby has any congenital anomalies." – Incorrect; an NST does not evaluate congenital anomalies; an ultrasound or amniocentesis would be used for that.
D. "If the baby moves 5 times in 15 minutes, then the baby is healthy." – Incorrect; fetal movement is assessed with kick counts, not an NST.

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Correct Answer is C

Explanation

A. Misoprostol – Incorrect; this is a cervical ripening agent used for labor induction, not for therapeutic rest.

B. Oxytocin – Incorrect; oxytocin is used to stimulate labor contractions, not to promote rest.

C. A barbiturate – Correct; barbiturates (e.g., secobarbital) or other sedatives are used for therapeutic rest in clients experiencing prodromal labor with no cervical progression.

D. Fentanyl – Incorrect; fentanyl is a short-term opioid analgesic but does not promote restful sleep.

A. Polyphagia B. Polydipsia C. Pica D. Polyuria

Correct Answer is C

Explanation

A. Polyphagia – Incorrect; this refers to excessive hunger, not the consumption of nonfood items.
B. Polydipsia – Incorrect; this refers to excessive thirst, often linked to conditions like diabetes.
C. Pica – Correct; pica is the craving and consumption of non-nutritive substances (e.g., clay, ice, starch), which can lead to nutritional deficiencies.
D. Polyuria – Incorrect; this refers to excessive urination, not abnormal food cravings.

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A nurse is assisting with a nonstress test (NST) on a client who is at 36 weeks of gestation and asks "What are you looking for during this test?" Which of the following responses should the nurse make?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

The ingestion of nonfood substances during pregnancy that can lead to iron deficiency anemia and other nutritional deficiencies and requires follow-up is known as?

Correct Answer is C

Explanation

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