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Question 1:

A nurse is caring for a client who is pregnant and undergoing a contraction stress test (CST).

The nurse observes three uterine contractions in 10 minutes, with no late or significant variable decelerations of the fetal heart rate (FHR).

How should the nurse interpret this finding?

Answer and Explanation

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Question 2:

A nurse is caring for a client who is scheduled for an amniocentesis at 35 weeks of gestation to assess fetal lung maturity.

Which of the following laboratory tests will provide this information?

Answer and Explanation

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Question 3:

A nurse is reviewing the findings of a biophysical profile (BPP) for a client who is at 40 weeks of gestation.

The BPP score is 6 out of 10 points.

Which of the following components are included in this score? (Select all that apply.)

Answer and Explanation

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Question 4:

A nurse is caring for a client who is undergoing an external nonstress test at 40 weeks of gestation and notes variable decelerations on the fetal monitor tracing that are unresponsive to interventions such as repositioning and oxygen administration.

Which of the following actions should the nurse take next?

Answer and Explanation

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Question 5:

A nurse is performing an external nonstress test for a client who is at 41 weeks of gestation and has oligohydramnios.

The nurse notes that there are no accelerations in the fetal heart rate tracing after applying an acoustic stimulator to the maternal abdomen for several seconds.

Which of the following actions should the nurse take?

Answer and Explanation

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Question 6:

A nurse is interpreting the results of a contraction stress test (CST) for a client who is at 38 weeks of gestation.

The nurse notes that there are no late or significant variable decelerations of the fetal heart rate (FHR).

How should the nurse document this finding?

Answer and Explanation

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Question 7:

A nurse is caring for a client who is undergoing an oxytocin-stimulated contraction stress test (CST).

The nurse observes three contractions in 10 minutes with no late decelerations of the fetal heart rate (FHR).

Which of the following actions should the nurse take?

Answer and Explanation

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Question 8:

A nurse is providing discharge instructions to a client who had a nonreactive nonstress test (NST) followed by a biophysical profile (BPP) with a score of 8/10.

Which of the following statements by the client indicates an understanding of the teaching?

Answer and Explanation

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Question 9:

A nurse is caring for a client in labor who has an internal fetal scalp electrode applied for continuous fetal heart rate (FHR) monitoring.

The nurse notes a pattern of late decelerations on the FHR tracing.

What is the priority nursing intervention?

Answer and Explanation

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Question 10:

A nurse is assessing a fetal heart rate (FHR) tracing for a client who is in active labor.

The nurse notes that the baseline FHR is 150 bpm with absent variability and recurrent variable decelerations with slow return to baseline.

What category of FHR tracing does this represent?

Answer and Explanation

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Question 11:

(Select all that apply) A nurse is performing a nonstress test (NST) for a client who is at 32 weeks of gestation and has gestational diabetes mellitus.

The nurse uses vibroacoustic stimulation to elicit fetal movement and acceleration of FHR.

What are the indications for using this method?

Answer and Explanation

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Question 12:

A nurse is using vibroacoustic stimulation (VAS) to stimulate fetal movement during a nonstress test (NST).

What action should the nurse take when applying VAS?

Answer and Explanation

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Question 13:

A nurse is evaluating the results of a contraction stress test (CST) for a pregnant client who had a nonreactive or nonreassuring result on a nonstress test (NST).

The nurse notes that there are no late decelerations of the fetal heart rate (FHR) after three contractions in a 10-minute period.

How should the nurse interpret this finding?

Answer and Explanation

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Question 14:

A nurse is comparing nonstress test (NST) and contraction stress test (CST) for assessing fetal well-being.

What is an advantage of NST over CST?

Answer and Explanation

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