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In preparing a gravid client for a triple screen analysis, which action should the nurse take?

Encourage the client to drink 8 oz of water.

Assist the client to left lateral tilt position.

Prepare to draw blood for analysis.

Apply an external fetal monitor to the abdomen.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Drinking water is not necessary before a triple screen analysis. This test does not require a full bladder.

Choice B rationale

The left lateral tilt position is typically used to prevent supine hypotensive syndrome in pregnant women during ultrasounds, not for a blood draw.

Choice C rationale

A triple screen analysis involves drawing blood from the mother to test for specific markers that indicate the risk of certain fetal abnormalities. Blood sampling is necessary for the analysis.

Choice D rationale

Applying an external fetal monitor is unrelated to a triple screen analysis, which focuses on maternal blood markers rather than fetal heart rate monitoring.

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Correct Answer is ["50"]

Explanation

Step 1 is (2 grams/hour ÷ 20 grams) × 500 mL.

Step 2 is (2 ÷ 20) × 500.

Step 3 is 0.1 × 500. The final calculated answer is 50 mL/hour.

A. Obtain a heel stick blood glucose level. B. Swaddle the infant in a warm blanket. C. Place a pulse oximeter on the heel. D. Document the findings in the record.

Correct Answer is A

Explanation

Choice A rationale

The symptoms of jitteriness, hypotonia, weak cry, and low temperature can indicate hypoglycemia in a newborn. Obtaining a heel stick blood glucose level is crucial to confirm the diagnosis and provide appropriate treatment.

Choice B rationale

While keeping the infant warm is important, it does not address the underlying issue of potential hypoglycemia, which needs to be identified and treated promptly.

Choice C rationale

Placing a pulse oximeter on the heel assesses oxygen saturation, which is not directly related to the symptoms described. The primary concern here is glucose level, not oxygen saturation.

Choice D rationale

Documenting the findings is important but does not provide immediate intervention for potential hypoglycemia, which requires urgent glucose level assessment and treatment if necessary. .

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In preparing a gravid client for a triple screen analysis, which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["50"]

Explanation

Correct Answer is A

Explanation

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