A nurse is providing teaching to a client who is at 35 weeks of gestation and has a prescription for an amniocentesis. Which of the following client statements indicates an understanding of the teaching?

I will be asleep during the procedure.

I should start fasting 24 hours before the procedure.

I will be lying on my side during the procedure.

I should empty my bladder before the procedure.

Answer and Explanation

The Correct Answer is D

Choice A rationale
Amniocentesis is not a surgical procedure that requires general anesthesia, so the client will not be asleep during the procedure.
Choice B rationale
Fasting is not typically required before an amniocentesis. The procedure involves inserting a thin needle into the amniotic sac to withdraw a small amount of fluid for testing. It does not involve the digestive system, so there is no need for the client to fast.
Choice C rationale
While the client may be in various positions during the procedure, lying on the side is not typically required. The position of the client during the procedure is determined by the location of the baby and the amniotic sac.
Choice D rationale
Emptying the bladder before the procedure can make it easier for the healthcare provider to access the uterus and amniotic sac. Therefore, this statement indicates an understanding of the teaching.

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Correct Answer is C

Explanation

The nurse should provide the instruction to “verify the identity of anyone who wants to remove your baby from the room” in the teaching about security procedures. It is important for parents to be vigilant and ensure that only authorized personnel have access to their baby.

A. “Initiate an infusion of IV fluids for the patient.”. B. “Administer Oxygen via nonrebreather mask at 8L/min.”. C. “Perform a vaginal examination by applying upward pressure on the presenting part.”. D. “Cover the umbilical cord with a sterile saline saturated towel.”. .

Correct Answer is C

Explanation

Choice A rationale
While initiating an infusion of IV fluids for the patient is important, it is not the immediate next step after noticing a protruding umbilical cord.
Choice B rationale
Administering oxygen via a nonrebreather mask at 8L/min is a later step in the management of umbilical cord prolapse.
Choice C rationale
The immediate next step after noticing a protruding umbilical cord is to perform a vaginal examination and apply upward pressure on the presenting part to relieve cord compression.
Choice D rationale
Covering the umbilical cord with a sterile saline-saturated towel is a later step in the management of umbilical cord prolapse.

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A nurse is providing teaching to a client who is at 35 weeks of gestation and has a prescription for an amniocentesis. Which of the following client statements indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

Correct Answer is C

Explanation

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