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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 A

Explanation

A. By calculating the time between the beginning of one contraction to the beginning of the next – Correct; frequency is measured from the start of one contraction to the start of the next.

B. By measuring the duration of the contractions – Incorrect; duration refers to how long a contraction lasts, not frequency.

C. By assessing the intensity of the contractions – Incorrect; intensity refers to the strength of the contraction.

D. By palpating the resting tone of the uterus – Incorrect; resting tone assesses uterine relaxation between contractions.

A. Picture book about hospitals B. Toy hammer and pounding board C. Stuffed animal D. Set of building blocks

Correct Answer is C

Explanation

A. Picture book about hospitals – Incorrect; a picture book may help older children but is not as effective for a 2-year-old experiencing separation anxiety.

B. Toy hammer and pounding board – These toys can be good for physical activity, but they might not be calming during a stressful tantrum.

C. Stuffed animal – Correct; comfort objects help reduce anxiety and provide security in an unfamiliar environment.

D. Set of building blocks – Incorrect; blocks help with fine motor development but do not directly address stress relief as well as other options.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

How is the frequency of uterine contractions measured?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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