The nurse is teaching a pregnant client about fetal kick counts.
Which statement made by the client indicates a need for further instruction?

Choice A rationale:

This response is incorrect because newborn screening tests do not determine blood type. Blood type is typically determined through a separate blood test, such as an ABO and Rh typing test.

While knowing a baby's blood type is important for medical reasons, it's not the primary purpose of newborn screening.

Focusing solely on blood type could mislead parents about the broader scope of conditions that newborn screening aims to identify.

Choice B rationale:

This response is incorrect because newborn screening tests are not diagnostic tests. They are screening tests, which means they identify babies who may be at risk for certain diseases, but they do not confirm whether or not a baby actually has a disease.

Diagnostic tests are typically more specific and are performed after a screening test has indicated a potential problem.

It's crucial to clarify the distinction between screening and diagnosis to avoid causing undue alarm or confusion for parents.

Choice C rationale:

This is the correct response. It accurately explains that newborn screening tests are routine procedures that are performed to detect babies who may be at risk for developing certain diseases.

The emphasis on "risk" is important because it highlights that a positive screening result does not necessarily mean that a baby has a disease, but rather that further testing is needed to confirm the diagnosis.

This response also avoids making assumptions about the parents' carrier status, which is a sensitive topic that should be addressed with care and discretion.

Choice D rationale:

This response is incorrect because it assumes that the parents are carriers for a disease, which may not be the case.

Even if the parents are carriers, newborn screening tests are not designed to specifically determine whether a disease has been passed down from parent to child.

Making such assumptions could create unnecessary anxiety or confusion for parents, and it's important to provide information that is accurate and relevant to their specific situation.

The correct answer is choice c. Negative.

Choice A rationale:

“Satisfactory” is not a standard term used to describe the results of a contraction stress test (CST). The terms typically used are “negative,” “positive,” “equivocal,” or “unsatisfactory.”

Choice B rationale:

“Unsatisfactory” is used when the test cannot be interpreted due to inadequate contractions or other technical issues. In this case, the client is experiencing contractions every three minutes, and the fetal heart rate (FHR) is being monitored effectively.

Choice C rationale:

A “Negative” CST indicates that there are no late decelerations of the FHR during contractions, suggesting that the fetus is not experiencing significant distress and is likely tolerating the contractions well.

Choice D rationale:

A “Positive” CST would indicate the presence of late decelerations of the FHR with at least 50% of contractions, suggesting fetal hypoxia and compromised placental function. Since there are no decelerations in this scenario, this choice is incorrect.