A nurse is assisting with the care of a client who is 37 weeks of gestation and is undergoing a nonstress test. Which of the following actions should the nurse take?

Assist the client into a supine position.

Explain that nonreactivity might require immediate medication administration.

Remind the client to press the button when she feels fetal movement.

Tell the client the test should take about 10 min.

Answer and Explanation

The Correct Answer is C

A. Assist the client into a supine position is incorrect. A supine position can reduce uterine blood flow and may lead to hypotension. The nurse should assist the client into a left-lateral position for optimal results during a nonstress test.

B. Explain that nonreactivity might require immediate medication administration is incorrect. Nonreactivity can indicate fetal distress, but it does not necessarily require medication immediately. Further testing or evaluation would be needed first.

C. Remind the client to press the button when she feels fetal movement is correct. The purpose of the nonstress test is to monitor fetal heart rate acceleration in response to movement. The client is typically instructed to press a button when she feels fetal movement so the nurse can correlate it with fetal heart rate patterns.

D. Tell the client the test should take about 10 min is incorrect. The nonstress test typically takes 20–40 minutes, depending on fetal activity and the need for monitoring.

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Correct Answer is D

Explanation

A. Expressing conflict over independence and control is incorrect. This behavior is more characteristic of adolescents, who struggle with autonomy as they develop their identity. Nine-year-old children are still largely influenced by parents and rules.

B. Demonstrating self-centered thinking is incorrect. Egocentric thinking is typical in preschool-aged children, while school-aged children develop the ability to see other perspectives and think more logically.

C. Displaying emotional detachment from parents is incorrect. While school-aged children begin to form peer relationships, they typically maintain strong emotional connections with their parents rather than detaching from them.

D. Grasping the concept of cause-and-effect is correct. At this stage, children develop logical thinking and an understanding of consequences, allowing them to recognize how actions lead to specific outcomes.

A. Write the information at an 8th-grade reading level. B. Explain medical terminology using basic, one-syllable words. C. Use a 12-point font size. D. Present information from complex to simple.

Correct Answer is A

Explanation

A. Write the information at an 8th-grade reading level.: Health literacy is a key consideration when developing educational materials for the general public. Writing at an 8th-grade reading level ensures the content is accessible and understandable to a wide audience. This increases the likelihood that the target population will comprehend and retain the information.

B. Explain medical terminology using basic, one-syllable words.: While medical terms should be simplified, using only one-syllable words may result in oversimplification and miscommunication. Clear explanations should be provided in layman's terms, but not necessarily using only one-syllable words.

C. Use a 12-point font size.: A 12-point font size is a reasonable choice for readability, but 14-point or larger is often recommended for easier reading, especially for older adults or those with vision impairments.

D. Present information from complex to simple.: It is generally more effective to start with simple, basic concepts and build up to more complex information. Presenting information in a logical, structured manner—starting from the basics—will help the reader better understand the material.

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