A nurse is collecting data from a client who is postpartum and had a low forceps vaginal birth 2 hr ago and is reporting increased rectal discomfort. Which of the following actions should the nurse take?

A. "You will not be able to eat or drink anything for 8 hours prior to the test." A nonstress test (NST) is a noninvasive procedure that does not require fasting. Clients are encouraged to eat before the test because fetal movement can be stimulated by food intake. Unlike some other prenatal tests, such as glucose tolerance tests or certain ultrasounds, there are no dietary restrictions before an NST.
B. "You will receive medication through an IV line to stimulate contractions." An NST does not involve medication or contraction stimulation. It is designed to monitor fetal heart rate in response to spontaneous fetal movement. If contractions need to be stimulated for further evaluation, a contraction stress test (CST) or oxytocin challenge test may be performed instead.
C. "You will press the provided button when you feel the baby moving during the test." During an NST, the client is given a button to press whenever they feel fetal movement. The test measures fetal heart rate in response to movement, helping to assess fetal well-being. A reassuring result shows accelerations in fetal heart rate with movement, indicating good oxygenation and neurological function.
D. "You will be required to lie flat on your back for the duration of the test." Lying flat on the back is not recommended, especially in later pregnancy, as it can cause supine hypotensive syndrome by compressing the inferior vena cava. Instead, the client is typically positioned in a semi-Fowler’s position or left lateral position to promote optimal blood flow and comfort during the NST.

A. Amoxicillin. Amoxicillin is a safe and effective antibiotic for treating chlamydia during pregnancy. It is classified as a category B drug, meaning it poses no known risks to the fetus. Alternative treatments include azithromycin and erythromycin, both of which are also safe during pregnancy.
B. Acyclovir. Acyclovir is an antiviral medication used to treat herpes simplex virus (HSV) infections. It is not effective against chlamydia, which is a bacterial infection that requires antibiotic therapy.
C. Metronidazole. Metronidazole is an antibiotic used to treat bacterial vaginosis (BV) and trichomoniasis, but it is not the first-line treatment for chlamydia. While metronidazole is safe for use during pregnancy, it does not effectively treat chlamydia infections.
D. Tetracycline. Tetracycline is contraindicated during pregnancy because it can cross the placenta and affect fetal bone and teeth development. It can cause permanent tooth discoloration and is not recommended for pregnant clients.