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.

Answer and Explanation

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.

Nursing Test Bank

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Correct Answer is A

Explanation

Rationale:

A. Facial edema can be a sign of preeclampsia, a serious complication of pregnancy characterized by high blood pressure and protein in the urine. Prompt notification of the healthcare provider is essential for further evaluation and management.

B. Urinary frequency is common in pregnancy due to hormonal changes and an enlarging uterus but does not typically require immediate notification of the healthcare provider unless accompanied by other concerning symptoms.

C. Decreased energy is a common symptom in early pregnancy and may not necessarily indicate a need for immediate notification of the healthcare provider unless it is severe or accompanied by other symptoms.

D. Mood swings are also common in pregnancy due to hormonal changes and may not require immediate notification of the healthcare provider unless they are severe and significantly affecting the client's well-being.

A. “It really doesn't matter exactly how much weight you gain, as long as your diet is healthy.” B. "You should gain 11 to 20 pounds." C. "The recommendation for you is about 15 to 25 pounds." D. "A gain of about 25 to 35 pounds is best for you and for your baby."

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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A nurse is reinforcing teaching with a client who is scheduled for a nonstress test. Which of the following information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has just learned that she is pregnant. The nurse should reinforce with the client to call her provider if she experiences which of the following manifestations?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a client who is pregnant and has a body mass index (BMI) of 26.5. She asks the nurse how much weight she should gain over the course of her pregnancy. Which of the following statements is an appropriate response by the nurse?

Correct Answer is C

Explanation

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