A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment. Which of the following laboratory tests should the nurse plan to conduct?

Group B strep culture

Rubella titer

Blood type and Rh

1hr glucose tolerance test

Answer and Explanation

The Correct Answer is D

All of the listed laboratory tests are important for prenatal care. However, at the 24-week appointment, the nurse should plan to conduct the 1-hour glucose tolerance test to screen for gestational diabetes.

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Correct Answer is D

Explanation

Epidural analgesia during labor can cause temporary bladder dysfunction, which may result in an inability to void. This is due to the epidural medication affecting the nerves that control the bladder. If the client is unable to void, it can lead to bladder distention, which can be uncomfortable for the client and increase the risk of infection.

Tingling in her legs, abdominal cramps, and itching are common side effects of epidural analgesia, and can be addressed after the client's inability to void is addressed. The nurse can provide the client with education on these side effects and reassurance that they are typically temporary and should resolve on their own.

A. Turn the client onto their side. B. Initiate an amnio-infusion for the client. C. Administer naloxone to the client. D. Monitor the client's blood pressure every 15 min.

Correct Answer is A

Explanation

Epidural anesthesia can cause hypotension in the mother, which can decrease blood flow to the fetus. Turning the client onto their side can help to improve blood flow to the fetus by reducing the pressure of the uterus on the vena cava and increasing venous return to the heart.

Option B is incorrect because an amnio-infusion is not indicated for hypotension related to epidural anesthesia.

Option C is also incorrect because naloxone is a medication used to reverse the effects of opioid medications and would not be appropriate for treating hypotension related to epidural anesthesia.

Option D is partially correct but does not address the immediate need to improve blood flow to the fetus. The nurse should monitor the client's blood pressure regularly but should also take immediate action to turn the client onto their side to improve blood flow.

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A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment. Which of the following laboratory tests should the nurse plan to conduct?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who received epidural analgesia during labor and is 4 hr postpartum. Which of the following client reports should the nurse address first?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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