A nurse is reinforcing teaching with a client who is scheduled for a nonstress test. Which of the following information should the nurse include?
The client will be asked to stimulate her nipples for 5 min during the test.
An external fetal monitor will be used to monitor the FHR.
An IV will be initiated prior to the test.
The client will receive an ultrasound prior to the test.
The Correct Answer is B
Rationale:
A. Stimulating nipples is not typically part of a nonstress test procedure.
B. An external fetal monitor will be used to monitor the fetal heart rate (FHR) during the nonstress test. This is the main purpose of the test, to assess the fetal heart rate in response to fetal movement.
C. An IV is not typically initiated for a nonstress test unless there are specific medical indications.
D. An ultrasound is not typically performed prior to a nonstress test unless additional fetal assessment is needed. The nonstress test primarily involves monitoring the fetal heart rate using an external fetal monitor.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A. While maintaining good posture is important for overall health and comfort during pregnancy, it is not specifically targeted at relieving constipation.
B. Regular use of a laxative is generally not recommended during pregnancy, as it can lead to dependency and may have adverse effects on both the mother and the fetus.
C. Regular use of glycerin suppositories is also not recommended during pregnancy due to the risk of irritation and potential harm to the fetus.
D. Increased cellulose and fluid in the diet is a safe and effective recommendation for relieving constipation during pregnancy. High-fiber foods, such as fruits, vegetables, whole grains, and legumes, can help add bulk to the stool and promote regular bowel movements. Adequate fluid intake, especially water, is essential for softening the stool and preventing dehydration, which can exacerbate constipation during pregnancy.
Correct Answer is C
Explanation
Rationale:
A. While it's important for the client's diet to be healthy during pregnancy, weight gain recommendations are based on the client's pre-pregnancy BMI and are important for both maternal and fetal health.
B. The recommended weight gain for a client with a BMI of 26.5 is higher than 11 to 20 pounds.
C. The recommended weight gain for a client with a BMI of 26.5 is about 15 to 25 pounds, according to guidelines from the Institute of Medicine (IOM).
D. A weight gain of 25 to 35 pounds is more appropriate for clients with a lower pre-pregnancy BMI, such as underweight or normal weight individuals.
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