Nokea
A pregnant client with a history of alcohol addiction is scheduled for a nonstress test. The nonstress test:
- A. Determines the lung maturity of the fetus
- B. Measures the activity of the fetus
- C. Shows the effect of contractions on the fetal heart rate
- D. Measures the neurological well-being of the fetus
Correct Answer: B
Rationale: A nonstress test measures fetal heart rate in response to fetal movement, assessing fetal activity and well-being.
You may also like to solve these questions
The nurse is caring for a client receiving supplemental oxygen. The effectiveness of the oxygen therapy is best determined by:
- A. The rate of respirations
- B. The absence of cyanosis
- C. Arterial blood gases
- D. The level of consciousness
Correct Answer: C
Rationale: Arterial blood gases provide a direct measure of oxygenation and are the most accurate way to evaluate the effectiveness of oxygen therapy.
The nurse is caring for a client who is postoperative day 2 following a cholecystectomy. The client reports nausea and has not had a bowel movement since surgery. Which of the following actions should the nurse take FIRST?
- A. Administer an antiemetic as ordered.
- B. Encourage ambulation.
- C. Notify the physician.
- D. Assess the client’s abdomen for bowel sounds.
Correct Answer: D
Rationale: assessment of bowel sounds is the first step to determine if there is a postoperative ileus or other complication
A client is admitted with sickle cell crises and sequestration. Upon assessing the client, the nurse would expect to find:
- A. Decreased blood pressure
- B. Moist mucus membranes
- C. Decreased respirations
- D. Increased blood pressure
Correct Answer: A
Rationale: Sickle cell crisis with sequestration can lead to hypovolemia due to blood pooling in organs, resulting in decreased blood pressure.
The nurse is teaching the mother of a child with cystic fibrosis how to do chest percussion. The nurse should tell the mother to:
- A. Use the heel of her hand during percussion
- B. Change the child's position every 20 minutes during percussion sessions
- C. Do percussion after the child eats and at bedtime
- D. Use cupped hands during percussion
Correct Answer: D
Rationale: Cupped hands during chest percussion create a vibration that helps loosen mucus in cystic fibrosis without causing injury.
The nurse is caring for the client with a 5-year-old diagnosis of plumbism. Which information in the health history is most likely related to the development of plumbism?
- A. The client has traveled out of the country in the last 6 months.
- B. The client's parents are skilled stained-glass artists.
- C. The client lives in a house built in 1990.
- D. The client has several brothers and sisters.
Correct Answer: B
Rationale: Stained-glass work often involves lead, increasing the risk of lead poisoning (plumbism).