A nurse is teaching a client who is pregnant about nonstress testing. Which of the following statements by the client indicates an understanding of the teaching?

"During this test, I must not eat or drink anything."

"During this test, I will push a button if my baby moves."

"I will get oxytocin during this test."

"This test will tell me if my baby has a genetic problem."

Answer and Explanation

The Correct Answer is B

A. "During this test, I must not eat or drink anything." – Incorrect. There are no dietary restrictions before a nonstress test (NST). In fact, eating may stimulate fetal movement.

B. "During this test, I will push a button if my baby moves." – Correct. The client is asked to press a button when fetal movement is felt to correlate with fetal heart rate accelerations.

C. "I will get oxytocin during this test." – Incorrect. Oxytocin is used in a contraction stress test (CST), not an NST.

D. "This test will tell me if my baby has a genetic problem." – Incorrect. The NST evaluates fetal well-being and oxygenation, not genetic conditions.

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Correct Answer is B

Explanation

A. Pour cool water over the client's perineum – Warm, not cool, water is more effective in relaxing the urinary sphincter to promote urination.

B. Turn on the faucets in the client's sink – The sound of running water can trigger the urge to urinate through a reflex mechanism, making this the best option.

C. Tell the client to gently stroke her lower abdomen – This is not an effective technique for stimulating urination.

D. Instruct the client to lean slightly backward – Positioning does not significantly influence urination while using a bedpan.

A. Help the client to identify effective past coping skills. B. Initiate precautions to safeguard the client from physical harm. C. Assist the client to identify available support systems. D. Encourage the client to express feelings about the incident.

Correct Answer is B

Explanation

A. Help the client to identify effective past coping skills – While important, this is not the priority in a crisis situation.

B. Initiate precautions to safeguard the client from physical harm – Ensuring immediate safety is the top priority for a client in crisis. If the client is at risk of further harm, protective measures must be implemented.

C. Assist the client to identify available support systems – This is an important step but comes after ensuring safety.

D. Encourage the client to express feelings about the incident – Emotional support is important, but physical safety takes precedence in crisis situations.

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A nurse is teaching a client who is pregnant about nonstress testing. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

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