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Free NCLEX-RN Exam Braindumps (page: 126)

Page 126 of 431
PDF with 862 Questions

At 32 weeks' gestation, a client is scheduled for a fetal activity test (nonstress test). She calls the clinic and asks the RN, "How do I prepare for the test I am scheduled for?" The RN will most likely inform her of the following instructions to help prepare her for the test:

  1. "You need to know that an IV is always started before the test."
  2. "You will need to drink 6 to 8 glasses of water to fill your bladder."
  3. "Do not eat any food or drink any liquids before the test is started."
  4. "You will have to remain as still as you possibly can."

Answer(s): D

Explanation:

(A) An IV line is not started in a nonstress test, because this test is used as an indicator of fetal well-being.
This test measures fetal activity and heart rate acceleration. (B) The bladder does not have to be full prior to this test. It is not a sonogram test where a full bladder enables other structures to be scanned. (C) It has been proved that eating or drinking liquids prior to the test can assist in increasing fetal activity. (D) Any maternal activity will interfere with the results of the test.



At 32 weeks' gestation, a client is scheduled for a fetal activity test (nonstress test). She calls the clinic and asks the RN, "How do I prepare for the test I am scheduled for?" The RN will most likely inform her of the following instructions to help prepare her for the test:

  1. "You need to know that an IV is always started before the test."
  2. "You will need to drink 6 to 8 glasses of water to fill your bladder."
  3. "Do not eat any food or drink any liquids before the test is started."
  4. "You will have to remain as still as you possibly can."

Answer(s): D

Explanation:

(A) An IV line is not started in a nonstress test, because this test is used as an indicator of fetal well-being.
This test measures fetal activity and heart rate acceleration. (B) The bladder does not have to be full prior to this test. It is not a sonogram test where a full bladder enables other structures to be scanned. (C) It has been proved that eating or drinking liquids prior to the test can assist in increasing fetal activity. (D) Any maternal activity will interfere with the results of the test.



While the RN is assessing a mother's perineum on her 2nd postpartum day after having a vaginal delivery, the RN notes a large ecchymotic area located to the left of the mother's perineum. Which one of the following interventions should the RN initiate at this time?

  1. Have the client expose the area to air.
  2. Apply ice to the perineum.
  3. Encourage the client to take warm sitz baths.
  4. Inform the physician.

Answer(s): C

Explanation:

(A) The area is bruised and painful. This action would do nothing to help with the healing process of the perineum or to provide comfort. (B) Ice is effective immediately after birth to reduce edema and discomfort, but not on the 2nd postpartum day. (C) Sitz baths are useful if the perineum has been traumatized, because the moist heat increases circulation to the area to promote healing, relaxes tissue, and decreases edema. (D) The physician is not notified of bruising, but if a hematoma is present, then the physician is notified.



While the RN is assessing a mother's perineum on her 2nd postpartum day after having a vaginal delivery, the RN notes a large ecchymotic area located to the left of the mother's perineum. Which one of the following interventions should the RN initiate at this time?

  1. Have the client expose the area to air.
  2. Apply ice to the perineum.
  3. Encourage the client to take warm sitz baths.
  4. Inform the physician.

Answer(s): C

Explanation:

(A) The area is bruised and painful. This action would do nothing to help with the healing process of the perineum or to provide comfort. (B) Ice is effective immediately after birth to reduce edema and discomfort, but not on the 2nd postpartum day. (C) Sitz baths are useful if the perineum has been traumatized, because the moist heat increases circulation to the area to promote healing, relaxes tissue, and decreases edema. (D) The physician is not notified of bruising, but if a hematoma is present, then the physician is notified.



Page 126 of 431



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Naveen Ahlam commented on November 29, 2024
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