A nurse is educating a pregnant client about the Non-Stress Test (NST).

Which statement by the client indicates understanding of the test?

"NST is performed after 28 weeks of gestation or earlier if there are risk factors.".

"A nonreactive NST means that the fetal heart rate increases by at least 15 beats per minute for at least 15 seconds twice or more in a 20-minute period.".

. "NST requires placing two belts with sensors on my abdomen: one to monitor the fetal heart rate and one to monitor the uterine contractions.".

"A reactive NST may indicate fetal hypoxia, distress, sleep, medication effect, or neurological abnormality.".

Answer and Explanation

The Correct Answer is A

"NST is performed after 28 weeks of gestation or earlier if there are risk factors."12 This statement indicates that the client understands when and why an NST is done.

Choice B is wrong because it describes a reactive NST, not a nonreactive one.

A reactive NST means that the fetal heart rate increases by at least 15 beats per minute for at least 15 seconds twice or more in a 20-minute period.2

Choice C is wrong because it confuses NST with contraction stress test (CST), which requires monitoring uterine contractions.

NST does not involve contractions.2

Choice D is wrong because it describes possible causes of a nonreactive NST, not a reactive one.

A nonreactive NST may indicate fetal hypoxia, distress, sleep, medication effect, or neurological abnormality.2

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Correct Answer is C

Explanation

This means that the baby’s heart rate did not slow down after the contractions induced by oxytocin, which is a sign of normal fetal well-being.

A negative CST is normal and desirable.

Choice A is wrong because no contractions were induced during the test.

This means that the test was inconclusive and could not assess the baby’s response to stress.

Choice B is wrong because late decelerations of the FHR were observed with at least 50% of contractions.

This means that the baby’s heart rate slowed down and stayed slow after the contractions, which is a sign of fetal distress and hypoxia.

A positive CST is abnormal and concerning.

Choice D is wrong because the client experienced mild uterine cramping during the test.

This is not a relevant factor for interpreting the CST results, which depend on the FHR patterns.

Uterine cramping can be a side effect of oxytocin administration or nipple stimulation.

A. The client has Rh-negative blood type. B. The client has a history of preterm labor. C. The client has a history of gestational diabetes. D. The client has a history of placenta previa

Correct Answer is D

Explanation

The correct answer is choice D. The client has a history of placenta previa.

Placenta previa is a condition where the placenta covers all or part of the cervix, blocking the baby’s exit from the uterus.

This can cause severe bleeding during pregnancy and delivery and increase the risk of complications for both the mother and the baby.

Therefore, the nurse should report this condition to the provider before performing an amniocentesis.

Choice A is wrong because having Rh-negative blood type is not a contraindication for amniocentesis.

However, the client may need an injection of Rh immunoglobulin after the procedure to prevent Rh sensitization.

Choice B is wrong because having a history of preterm labor is not a contraindication for amniocentesis.

However, the client may need to be monitored closely for signs of preterm labor after the procedure.

Choice C is wrong because having a history of gestational diabetes is not a contraindication for amniocentesis.

However, the client may need to have their blood glucose levels checked before and after the procedure.

Amniocentesis is a diagnostic procedure that involves removing and testing a small sample of amniotic fluid from the uterus for genetic or chromosomal conditions, such as Down syndrome, Edwards syndrome or Patau syndrome.

It can also be used to diagnose fetal infections, treat excess amniotic fluid, or test fetal lung maturity

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A nurse is educating a pregnant client about the Non-Stress Test (NST). Which statement by the client indicates understanding of the test?

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Naxlex Comprehensive Predictor Exams

A nurse is educating a pregnant client about the Contraction Stress Test (CST). Which statement accurately describes a negative CST?

Correct Answer is C

Explanation

A nurse is caring for a client who is scheduled for an amniocentesis. Which of the following should the nurse report to the provider?

Correct Answer is D

Explanation

A client asks the nurse about the risks and complications associated with prenatal ultrasound. Which of the following responses by the nurse is accurate?

A client is scheduled for a transvaginal ultrasound in two weeks. The client asks the nurse what they should do to prepare for the test. What is the best response by the nurse?

A nurse is caring for a patient who had an amniocentesis performed at 16 weeks gestation and reports cramping and vaginal bleeding 24 hours later. Which action should be taken first?

A client asks the nurse about the significance of Alpha-fetoprotein Test (AFP) results. How should the nurse respond?

A nurse is explaining the purpose of a Doppler ultrasound blood flow analysis to a client who has intrauterine growth restriction (IUGR). The nurse should inform the client that this test measures which of the following?

A nurse is explaining the purpose of a Contraction Stress Test (CST) to a pregnant client. What does the CST aim to assess?

A nurse is providing education to a client who is scheduled to undergo chorionic villus sampling (CVS). Which statement by the client indicates an understanding of this test?

A nurse is reviewing the results of a Contraction Stress Test (CST) with a pregnant client. What does an equivocal CST indicate?

A nurse is educating a pregnant client about the Non-Stress Test (NST).

Which statement by the client indicates understanding of the test?