A nurse is teaching a client who is scheduled for a non-stress test. Which of the following information should the nurse include? Choice Options:

An IV will be initiated prior to the test.

The client will be asked to stimulate her nipples for 5 minutes during the test.

The client will receive an ultrasound prior to the test.

An external fetal monitor will be used to monitor the fetus.

Answer and Explanation

The Correct Answer is D

Rationale for Choice A:
An IV is not routinely initiated prior to a non-stress test. It may be started if a biophysical profile (BPP), which includes an ultrasound, is also being performed, or if there is a risk of complications that may necessitate immediate intervention. However, it is not a standard part of the non-stress test itself.

Rationale for Choice B:
Nipple stimulation is not a standard component of a non-stress test. It may be used in some cases to try to induce fetal movement if the fetus is not moving actively enough during the test. However, it is not a routine part of the procedure.

Rationale for Choice C:
An ultrasound is not typically performed prior to a non-stress test. It may be done as part of a BPP, but it is not necessary for the non-stress test itself.

Rationale for Choice D:
An external fetal monitor is essential for conducting a non-stress test. This monitor uses two belts that are placed around the mother's abdomen. One belt measures the fetal heart rate, and the other belt measures uterine contractions. The monitor records the fetal heart rate and any contractions for a period of 20 to 40 minutes. The test is considered reactive (normal) if the fetal heart rate increases by at least 15 beats per minute for at least 15 seconds twice during the test. This acceleration in heart rate is typically in response to fetal movement.

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Correct Answer is B

Explanation

Choice B:

Implantation typically occurs 6 to 12 days after ovulation, not 2 to 3 weeks. This is a crucial distinction because it aligns with the developmental timeline of the early embryo and the physiological changes in the endometrium that prepare for implantation.

The timing of implantation is essential for establishing a viable pregnancy. If implantation occurs too early or too late, it can lead to complications such as early pregnancy loss or ectopic pregnancy.

Understanding the correct timing of implantation is vital for healthcare professionals to provide accurate information and guidance to clients regarding conception and early pregnancy.

Choice A:

Sperm can indeed remain viable in the woman's reproductive tract for up to 5 days. This means that intercourse that occurs several days before ovulation can still lead to conception.

The lifespan of sperm is important for understanding fertility and timing intercourse for those trying to conceive.

Choice C:

Fertilization does typically occur in the outer third of the fallopian tube, also known as the ampulla. This is where the sperm meets the egg, and fertilization takes place.

The location of fertilization is significant because it ensures that the fertilized egg, or zygote, has time to travel down the fallopian tube and implant in the uterus.

Choice D:

Bleeding can sometimes accompany implantation, known as implantation bleeding. This bleeding is usually light and occurs around the time of expected menstruation.

It is important to be aware of implantation bleeding as it can sometimes be mistaken for a menstrual period.

A. The client is 20 years old. B. The client had a vaginal birth 6 months ago. C. The client smokes cigarettes. D. The client has more than one sex partner.

Correct Answer is D

Explanation

The correct answer is Choice D.

Choice A rationale: The client's age, being 20 years old, is not a contraindication to the use of a diaphragm. Diaphragms can be used by individuals of reproductive age, provided there are no other contraindications.

Choice B rationale: Having a vaginal birth 6 months ago is not a contraindication to using a diaphragm. The diaphragm's fit may need adjustment, but it can still be used safely postpartum.

Choice C rationale: Smoking cigarettes is a risk factor for several health conditions but is not a specific contraindication for the use of a diaphragm. However, smoking cessation should be encouraged for overall health benefits.

Choice D rationale: Having more than one sex partner increases the risk of sexually transmitted infections (STIs). Diaphragms do not protect against STIs, making it important to use condoms in conjunction with the diaphragm for clients with multiple sex partners.

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A nurse is teaching a client who is scheduled for a non-stress test. Which of the following information should the nurse include? Choice Options:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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