A nurse is caring for a client who is at 34 weeks of gestation and is preparing to undergo a nonstress test. Which of the following actions should the nurse take?
Instruct the client that oxytocin is administered during the procedure.
Inform the client that this procedure assists in indicating Down syndrome.
Assist the client to a lateral tilt position prior to the procedure.
Ensure the client has been NPO for 6 hr prior to the procedure.
The Correct Answer is C
A) Incorrect- Oxytocin is not typically administered during a nonstress test.
B) Incorrect- A nonstress test is used to assess fetal well-being and does not indicate Down syndrome.
C) Correct - A lateral tilt position (usually left lateral tilt) is recommended during a nonstress test to prevent compression of the vena cava and maintain proper blood flow to the uterus, which can optimize fetal heart rate monitoring.
D) Incorrect- NPO status is not typically required for a nonstress test. Nonstress tests are non-invasive and do not involve fasting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct - Keeping the car seat rear-facing is recommended until your baby reaches the age of 2 or the weight and height limits specified by the car seat manufacturer. This is to provide maximum protection to the baby's developing head and neck.
B) Incorrect- Placing the shoulder harness at the level of the baby's shoulders is important, but the rear-facing position is a higher priority.
C) Incorrect- The retainer clip should be positioned at the level of the baby's armpits to ensure proper placement of the harness straps.
D) Incorrect- The angle of recline is important to prevent the baby's head from flopping forward, but the rear-facing position itself is more crucial.
Correct Answer is B
Explanation
A) Incorrect- Applying a heat pack to the area might increase inflammation and discomfort. Heat is generally not recommended for healing episiotomies and hemorrhoids.
B) Correct - "I will apply witch hazel pads after urination" is the correct statement. Witch hazel pads have a cooling and soothing effect that can provide relief from discomfort associated with episiotomies and hemorrhoids.
C) Incorrect- Using a numbing spray before cleansing might not be necessary and could interfere with proper cleansing. It's generally recommended to cleanse the area before applying any products.
D) Incorrect- Remaining in a sitz bath for 10 minutes is beneficial for perineal care, but it doesn't specifically address the use of witch hazel pads or understanding of the overall perineal care regimen. Furthermore, prolonged sitz baths, as can interfere with healing and increase the risk of infection.
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