In preparing a pregnant client for a nonstress test (NST), which ...

[Cooldude101]

In preparing a pregnant client for a nonstress test (NST), which of the following should be included in the plan of care?
 
  a. Have the client void prior to being placed on the fetal monitor because a full bladder will interfere with results.
  b. Maintain NPO status prior to testing.
  c. Position the client for comfort, adjusting the tocotransducer belt to locate fetal heart rate.
  d. Have an infusion pump prepared with oxytocin per protocol for evaluation.

Question 2

Which factor serves as a clinical indicator for a third trimester amniocentesis?
 
  a. Sex of the fetus
  b. Rh isoimmunization
  c. Placenta previa
  d. Placental abruption

[sarahccccc]

Answer to Question 1

ANS: C
The nurse must adjust the tocotransducer to find the best location to pick up and record the fetal heart rate. Positioning the client for comfort during testing is a prime concern. Although a full bladder may affect client comfort, it will not interfere with testing results. NPO status is not required for an NST. Instead, a pregnant client should maintain her normal nutritional intake to provide energy to herself and the fetus. An infusion pump with oxytocin is required for a contraction stress test (CST).

Answer to Question 2

ANS: B
Rh isoimmunization is a clinical indicator for a third-trimester amniocentesis. Although an amniocentesis can determine the sex of the fetus, this is not a primary indication for a third-trimester amniocentesis. Ultrasound imaging would be indicated for evaluation of placenta previa. Ultrasound imaging would be indicated for evaluation of placental abruption.