Which of the following is a primary indication for performing a nonstress test during pregnancy?

To determine the exact gestational age of the fetus

To measure the amniotic fluid volume

To confirm the presence of labor contractions

To assess fetal well-being in cases of suspected fetal growth restriction

Answer and Explanation

The Correct Answer is D

A. To determine the exact gestational age of the fetus. Gestational age is estimated via ultrasound and fundal height, not an NST.

B. To measure the amniotic fluid volume. Amniotic fluid volume is assessed with an ultrasound and amniotic fluid index (AFI), not an NST.

C. To confirm the presence of labor contractions. An NST does not confirm labor contractions; it evaluates fetal heart rate in response to fetal movement.

D. To assess fetal well-being in cases of suspected fetal growth restriction. An NST evaluates fetal oxygenation and well-being, making it useful in cases of intrauterine growth restriction (IUGR) or other concerns about fetal health.

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Correct Answer is C

Explanation

A. A client who is at 28 weeks of gestation and receiving terbutaline reports fine tremors: Fine tremors are a common expected side effect of terbutaline, which is a beta-adrenergic agonist used to stop preterm labor. It is not an emergency but should be monitored.

B. A client who has a diagnosis of preeclampsia has 2+ proteinuria and 2+ patellar reflexes: Proteinuria and 2+ reflexes are consistent with mild preeclampsia and do not necessarily indicate worsening or severe disease. However, monitoring is required to detect progression.

C. A client who has a diagnosis of preeclampsia reports epigastric pain and unresolved headache: Epigastric pain and a persistent headache suggest impending eclampsia or hepatic involvement (HELLP syndrome) and require immediate medical intervention to prevent seizures, stroke, or organ failure.

D. A tearful client who is at 32 weeks of gestation and is experiencing irregular, frequent contractions: Irregular contractions at 32 weeks may indicate Braxton Hicks contractions or preterm labor, but they do not necessarily require immediate provider notification unless they become regular and progressive.

A. A client who has a history of preterm labor B. A client who has been exposed to AIDS C. A client who has mitral valve prolapse D. All of the clients

Correct Answer is D

Explanation

A. A client who has a history of preterm labor. A history of preterm labor is not an indication for MSAFP screening. MSAFP is primarily used to detect neural tube defects (e.g., spina bifida) and chromosomal abnormalities (e.g., Down syndrome).

B. A client who has been exposed to AIDS. HIV/AIDS exposure does not impact MSAFP levels and is not an indication for the test. The focus in these clients is viral load monitoring and antiretroviral therapy.

C. A client who has mitral valve prolapse. Mitral valve prolapse does not affect fetal development in a way that would require MSAFP screening.

D. All of the clients. It is a standard screening test offered to all pregnant clients during the second trimester. The test is recommended for detecting fetal neural tube defects and certain chromosomal abnormalities, typically offered between 15-20 weeks of gestation.

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Which of the following is a primary indication for performing a nonstress test during pregnancy?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a group of clients on an intrapartum unit. Which of the following findings should be reported to the provider immediately?

Correct Answer is C

Explanation

A nurse in a clinic is reviewing the medical records of a group of clients who are pregnant. The nurse should anticipate the provider will order a maternal serum alpha-fetoprotein (MSAFP) screening for which of the following clients?

Correct Answer is D

Explanation

A nurse is teaching a client who is at 15 weeks of gestation and is to undergo an amniocentesis. The nurse should explain that the purpose of this test is to identify which of the following conditions? (Select all that apply.)

A nurse is caring for a client who is in preterm labor at 32 weeks of gestation. The client asks the nurse, "Will my baby be okay?" Which of the following responses should the nurse offer?

Which of the following is a sign that childbirth labor is likely to begin?

A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate IV at 2 g/hr. Which of the following findings indicates that it is safe for the nurse to continue the infusion?

A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation. The nurse provides which of the following explanations about this test to the client?

The home care nurse visits a pregnant client who has a diagnosis of mild preeclampsia. Which assessment finding indicates a worsening of the preeclampsia and the need to notify the primary health care provider (PHCP)?

A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation and is reviewing the provider's orders. Which of the following orders requires clarification?

A nurse is caring for a client who is in active labor when the client's membranes rupture. The fetal monitor tracing shows late decelerations. Which of the following actions should the nurse take first?