A nurse is caring for a client who is at 36 weeks of gestation and is undergoing a nonstress test (NST). The test is nonreactive. Which of the following interventions should the nurse suggest based on the findings?
Kleihauer-Betke test
Amnioinfusion
Administration of terbutaline
Contraction stress test
The Correct Answer is D
A. Kleihauer-Betke test. This test is used to detect fetal-maternal hemorrhage by identifying fetal red blood cells in maternal circulation. It is not related to a nonreactive NST, which indicates the need for further fetal well-being assessment rather than checking for fetal-maternal bleeding.
B. Amnioinfusion. This procedure involves infusing fluid into the amniotic sac to relieve umbilical cord compression or dilute meconium-stained amniotic fluid. It is not an appropriate intervention for a nonreactive NST, as it does not assess fetal oxygenation or reactivity.
C. Administration of terbutaline. Terbutaline is a tocolytic used to relax the uterus and prevent preterm labor. It is not indicated for a nonreactive NST, as the concern in this scenario is fetal well-being rather than uterine activity.
D. Contraction stress test. A nonreactive NST means that the fetal heart rate does not demonstrate adequate accelerations, which can indicate potential fetal hypoxia. A contraction stress test is performed next to evaluate how the fetal heart rate responds to contractions, helping determine if the fetus can tolerate labor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Encourage the family to be with the child during mealtimes. While having family present can provide support and create a positive mealtime atmosphere, it is not the first step in addressing poor dietary intake. Understanding the underlying reasons for the child's poor intake is more critical initially.
B. Instruct the family to praise the child when they eat. Encouraging praise can help create a positive association with eating, but this action is more effective after understanding the child's dietary habits and preferences.
C. Obtain the child's dietary history. Obtaining the child's dietary history is the most important first step. This allows the nurse to identify specific concerns, such as food preferences, patterns of intake, and any potential food allergies or intolerances. Understanding the child's current dietary habits is essential for developing an effective plan to improve nutritional intake.
D. Offer the child nutritious snacks between meals. Offering nutritious snacks can help increase caloric intake, but this should be done after assessing the child's dietary history to ensure that the snacks are appropriate and tailored to the child's needs and preferences.
Correct Answer is B
Explanation
A. Open the dampers of fireplaces. Keeping fireplace dampers open would allow contaminated outdoor air to enter the home, increasing exposure to harmful chemicals. During an outdoor chemical disaster, it is essential to seal the home as much as possible to prevent infiltration of toxic substances.
B. Cover heat registers with plastic and tape. Sealing heat registers helps prevent outside air from circulating into the home through ventilation systems. This precaution reduces exposure to airborne chemicals by limiting pathways for contamination. Creating an airtight environment is a key strategy in shelter-in-place recommendations during chemical disasters.
C. Exit the home as quickly as possible. Evacuating during an outdoor chemical disaster may increase the risk of exposure if toxic fumes are present. Authorities typically advise sheltering in place with sealed windows and doors unless an evacuation order is issued. Leaving should only occur when officials confirm that it is safe.
D. Turn on ceiling fans and air conditioners. Running ventilation systems like fans and air conditioners can draw in outside air, increasing exposure to hazardous chemicals. Instead, all air systems should be turned off to minimize circulation of contaminated air within the home.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.