You are the nurse providing teaching to a pregnant woman on how to do kick counts. You will tell her all of the following except:
Report fetal movement below normal as this is an indication for further assessment.
If fetal movement is decreased, you should eat something, rest, and focus on fetal movement for 1 hour.
You must lay prone to perform fetal kick counts.
Fetal movement counting is based on the physiological principles that compromised fetuses reduce activity in response to decreased oxygenation.
The Correct Answer is C
Choice A rationale
Fetal movement below normal may indicate compromised oxygenation or fetal distress. Reporting such observations is crucial for further assessment and timely intervention.
Choice B rationale
Consuming food and resting can increase glucose levels, potentially enhancing fetal movement. Monitoring for 1 hour helps to evaluate if decreased movement persists, indicating the need for further assessment.
Choice C rationale
Pregnant women should not lay prone for kick counts. This position can compress major blood vessels, reducing blood flow and oxygenation to the fetus. The left lateral position is preferred.
Choice D rationale
Reduced fetal movement can indicate decreased oxygenation in compromised fetuses. Monitoring fetal activity helps assess fetal well-being and identify potential hypoxia or distress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Administering oxytocin during a contraction stress test is to assess uteroplacental insufficiency, not to identify pain tolerance. The test evaluates fetal response to contractions.
Choice B rationale
Positive contraction stress tests are associated with poor fetal outcomes, indicating fetal distress during contractions due to inadequate placental perfusion.
Choice C rationale
A negative result in a contraction stress test indicates adequate placental function and fetal well-being, suggesting the fetus can tolerate labor without distress.
Choice D rationale
A positive test result suggests potential fetal compromise, including increased risk of fetal death, growth restriction, low Apgar scores, and need for C-section or resuscitation.
Correct Answer is ["A","D","E"]
Explanation
Choice A rationale
Intrauterine growth restriction (IUGR) is an indication for a contraction stress test. It assesses fetal response to uterine contractions, identifying potential placental insufficiency.
Choice B rationale
A normal biophysical profile indicates no need for a contraction stress test. It assesses fetal well-being, and normal results suggest no immediate concerns.
Choice C rationale
Placental abruption is a contraindication for a contraction stress test. Inducing contractions can exacerbate placental separation, risking maternal and fetal health.
Choice D rationale
Decreased fetal movements warrant a contraction stress test. It evaluates fetal response to contractions, detecting possible hypoxia or compromised fetal condition.
Choice E rationale
Post-term pregnancy (>42 weeks) is an indication for a contraction stress test. It assesses placental function and fetal well-being as prolonged gestation increases risks.
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