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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 B

Explanation

A. Dilation – Incorrect; dilation refers to the opening of the cervix, not its thinning.

B. Effacement – Correct; effacement refers to the thinning and shortening of the cervix as labor progresses.

C. Ballottement – Incorrect; ballottement is the rebound of the fetus when tapped during a vaginal exam.

D. Multiparous – Incorrect; multiparous refers to a woman who has given birth multiple times.

A. A medical device used during treatment or procedures B. A piece of artwork or decoration that creates a soothing environment C. A specialized tool used by healthcare professionals for assessment or treatment D. A tor comfort object that provides a sense of security and familiarity

Correct Answer is D

Explanation

A. A medical device used during treatment or procedures – Incorrect; this refers to medical equipment, not a transitional object.

B. A piece of artwork or decoration that creates a soothing environment – Incorrect; while decorations can be comforting, they are not considered transitional objects.

C. A specialized tool used by healthcare professionals for assessment or treatment – Incorrect; this describes medical tools, not a transitional object.

D. A comfort object that provides a sense of security and familiarity – Correct; a transitional object (e.g., a blanket, stuffed animal, or favorite toy) helps provide a sense of comfort and familiarity in an unfamiliar hospital setting.

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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

Which of the following terms is used to describe the thinning and shortening of the cervix that occurs just before and during labor?

Correct Answer is B

Explanation

What is a transitional object in the hospital to a child?

Correct Answer is D

Explanation

A woman asks the nurse during a prenatal office visit, "What pain relief method is best during labor?" What answer by the nurse best answers the question?

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A laboring patient reports, anxiety, vomiting, and the need to have a bowel movement. What is the expected cervical examination finding?

In which stage and phase of labor is the client who is at 7 cm of cervical dilation and 100% effacement, with the fetus at 1 station and intact amniotic membranes, and reporting the urge to push?