A patient is being prepared for an amniocentesis. The patient is a G2P1 and is 34 weeks gestation suffering from pre eclampsia. The patient asks what the purpose of this amniocentesis is. The best response from the nurse would be:

To identify abnormal fetal cells.

To detect metabolic disorders.

To determine fetal lung maturity.

To identify the sex of the fetus.

Answer and Explanation

The Correct Answer is C

A. To identify abnormal fetal cells: This is typically the purpose of amniocentesis earlier in pregnancy to check for genetic disorders, not at 34 weeks.

B. To detect metabolic disorders: Metabolic disorders are usually identified through newborn screening after birth rather than through late pregnancy amniocentesis.

C. To determine fetal lung maturity: At 34 weeks gestation, determining fetal lung maturity is critical, especially in cases of preeclampsia, as early delivery might be necessary.

D. To identify the sex of the fetus: The sex of the fetus is usually determined earlier in pregnancy if necessary, not at 34 weeks, and it is not the primary purpose in this context.

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Correct Answer is ["A","B","E","F"]

Explanation

A. Fundal tone assessment helps detect uterine atony.

B. Lochia assessment monitors postpartum bleeding.

C. Transcutaneous bilirubin is not assessed in the immediate postpartum period.

D. Engorgement relates to breastfeeding and is not a priority in the fourth stage.

E. Vital signs are crucial to monitor for hemorrhage or shock.

F. Bladder distension can affect uterine contraction and bleeding.

A. Gets it refitted each time she changes partners B. Leaves it in place for 6 hours after intercourse. C. Places lubricant inside of the diaphragm before insertion D. Leaves it in during her period

Correct Answer is B

Explanation

Rationale:

A. Refitting the diaphragm is recommended after significant weight change, not when changing partners.

B. Leaving the diaphragm in place for at least 6 hours after intercourse ensures effective contraception.

C. Lubricant is not placed inside the diaphragm but on the rim or used with spermicide.

D. Leaving the diaphragm in during menstruation increases the risk of toxic shock syndrome.

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A patient is being prepared for an amniocentesis. The patient is a G2P1 and is 34 weeks gestation suffering from pre eclampsia. The patient asks what the purpose of this amniocentesis is. The best response from the nurse would be:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

At the beginning of the fourth stage of labor the nurse assess what four things? (Select four correct answers).

Correct Answer is ["A","B","E","F"]

Explanation

The nurse teaches a couple that the diaphragm is an excellent method of contraception providing that the woman does which of the following?

Correct Answer is B

Explanation

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Select the four criteria below that would indicate a category 3 fetal monitor strip.

The fetal heart rate decelerates from baseline mirroring the uterine contractions and then returns to baseline by the end of the contraction. What action by the nurse is indicated?