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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale

Amniocentesis detects anomalies in fetal chromosomes by analyzing amniotic fluid cells. It identifies genetic disorders like Down syndrome. Normal karyotype excludes major chromosomal abnormalities.

Choice B rationale

Rh incompatibility is identified by maternal blood tests, not amniocentesis. Blood type and antibody screening determine Rh status and risk of hemolytic disease in the fetus.

Choice C rationale

Cephalopelvic disproportion is assessed clinically and via ultrasound. It involves the pelvis and fetal head sizes, not amniocentesis.

Choice D rationale

Amniocentesis can detect infections, but this is not its primary purpose. Polymerase chain reaction (PCR) identifies bacterial or viral DNA/RNA.

Choice E rationale

Amniocentesis detects neural tube defects like spina bifida by measuring alpha-fetoprotein (AFP) levels in amniotic fluid. Elevated AFP suggests neural tube defects.

A. Counterpressure of the lower back. B. Gentle, rhythmic tapping on the patient’s abdomen. C. Rapid, firm kneading of the patient’s arms and legs. D. Light, circular stroking movements on the patient’s abdomen.

Correct Answer is D

Explanation

Choice A rationale

Counterpressure of the lower back involves applying firm pressure to alleviate back pain, but it is not effleurage. Effleurage is focused on light, circular strokes.

Choice B rationale

Gentle, rhythmic tapping on the patient’s abdomen is not part of effleurage. Effleurage consists of smooth, circular movements rather than tapping motions.

Choice C rationale

Rapid, firm kneading of the patient’s arms and legs describes petrissage, a different massage technique. Effleurage is characterized by light, circular stroking movements on the abdomen.

Choice D rationale

Light, circular stroking movements on the patient’s abdomen describe effleurage. This technique is used to provide comfort and relaxation during labor by stimulating skin receptors.

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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:

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

A nurse is assisting a pregnant patient in labor who is experiencing discomfort. The nurse decides to use effleurage as a comfort measure. Which of the following best describes the technique of effleurage?

Correct Answer is D

Explanation

A client in labor is agitated and nervous about the birth of her child. The nurse explains to the client that fear and anxiety cause the release of certain compounds that can prolong labor. The nurse is referring to which compounds?

The nurse is caring for a client in labor at term. The nurse reviews the external monitor tracing below. The nurse identifies that the deceleration pattern seen indicates which of the following?

The nurse performs Leopold’s maneuvers for a client admitted in labor. Which is the main goal of Leopold’s maneuvers?

The nurse performs Leopold’s maneuvers for a client admitted in labor. Which is the main goal of Leopold’s maneuvers?

A nurse is caring for a client who is 42 weeks of gestation in the labor and delivery unit. Exhibits Based on the assessment findings, which of the following actions should the nurse plan to take? (Select all that apply.)

A nurse is caring for a client who is having a nonstress test. The fetal heart rate (FHR) baseline is 145 bpm, there is moderate variability, but there have been no accelerations or fetal movement. Which of the following actions should the nurse complete next?

The obstetrician is caring for a client with gestational hypertension. She is concerned about placental perfusion and intrauterine growth restriction (IUGR) after noting minimal fetal growth over the past month. What non-invasive antenatal test would the nurse anticipate the provider will order?