Nokea
A nurse is caring for a client who is at 41 weeks of gestation and has a positive contraction stress test. For which of the following diagnostic tests should the nurse prepare the client?
- A. Percutaneous umbilical blood sampling.
- B. Amnioinfusion.
- C. Biophysical profile (BPP).
- D. Chorionic villus sampling (CVS).
Correct Answer: C
Rationale: A biophysical profile (BPP) is a non-invasive test that assesses fetal well-being and is often used after a positive contraction stress test to further evaluate the fetus.
You may also like to solve these questions
A nurse is caring for a client who becomes unresponsive upon delivery of the placenta. Which of the following actions should the nurse take first?
- A. Determine respiratory function.
- B. Increase the IV fluid rate.
- C. Access emergency medications from the cart.
- D. Collect a maternal blood sample for coagulopathy studies.
Correct Answer: A
Rationale: Determining respiratory function is the first priority in an unresponsive client to ensure that the airway is patent and the client is breathing.
What is the recommended method of pain relief during labor for a woman who desires regional anesthesia?
- A. Epidural block
- B. Spinal block
- C. Combined spinal-epidural block
- D. All of the above
Correct Answer: D
Rationale: Regional anesthesia options include epidural, spinal, and combined spinal-epidural blocks.
What is the recommended amount of weight gain during pregnancy for a woman with a normal BMI?
- A. 10-15 pounds
- B. 20-30 pounds
- C. 30-40 pounds
- D. 40-50 pounds
Correct Answer: B
Rationale: The correct answer is B (20-30 pounds). This range is recommended for pregnant women with a normal BMI to support the health of both the mother and the baby. Gaining too little weight can lead to complications like low birth weight, while gaining too much weight increases the risk of gestational diabetes and high blood pressure. The other choices are incorrect because they either fall below or exceed the recommended weight gain range, which can pose risks to the pregnancy. It is crucial for the mother to maintain a healthy weight gain to ensure a safe and successful pregnancy.
What is the recommended method of pain relief during labor for a woman with a high-risk pregnancy?
- A. Epidural anesthesia
- B. Spinal anesthesia
- C. Intravenous opioids
- D. All of the above
Correct Answer: A
Rationale: The correct answer is A: Epidural anesthesia. Epidural anesthesia is the recommended method for pain relief during labor for women with high-risk pregnancies as it provides effective pain relief while allowing the mother to remain conscious and able to actively participate in the birthing process. Epidurals can be adjusted to provide varying levels of pain relief and are considered safe for both the mother and the baby. Spinal anesthesia (B) is typically used for cesarean sections and may not be suitable for the entire labor process. Intravenous opioids (C) are less commonly used due to potential side effects on the baby. Choice D is incorrect as not all methods are recommended for high-risk pregnancies.
What is the recommended method of feeding for a newborn with galactosemia?
- A. Breastfeeding
- B. Formula feeding
- C. Soy-based formula feeding
- D. All of the above
Correct Answer: B
Rationale: Formula feeding is recommended for newborns with galactosemia, as they cannot metabolize lactose.