In many settings, nurses may perform nonstress tests (NST), ...

[mpobi80]

In many settings, nurses may perform nonstress tests (NST), conduct an initial assessment of the woman and begin necessary interventions for nonreassuring results.
 
  These nursing procedures are accomplished after additional education and training under established protocols. Which nursing action is necessary when preparing the patient for the NST? a. Position the woman on her left side.
  b. Be certain that the woman is seated comfortably in a reclining chair.
  c. Encourage the woman to drink one liter of water prior to the test.
  d. Place conduction gel on the woman's abdomen with one belt.

Question 2

A mother's blood type is O negative. Which choice will best determine if there is a need to administer Rho(D) immune globulin (RhoGAM)?
 
  a. At the time of delivery, cord blood is col-lected to determine if baby's blood type is positive and if any antibodies are present.
  b. If the baby's father is positive, she will need Rho(D) immune globulin.
  c. Kleihauer-Betke test helps determine if the mom has already been sensitized.
  d. On the first day, the baby's blood is tested to see if antibodies are being produced.

[Dnite]

Answer to Question 1

B
Feedback
A The woman should be seating in a reclining chair or in semi-Fowler position if
on a bed or stretcher.
B To correctly position the pregnant patient for an NST, the nurse should place the
woman in a reclining chair or in semi-Fowler position with a lateral tilt. will
optimize uterine perfusion and prevent supine hypotension.
C This is the appropriate preparation for abdominal ultrasonography. Caregivers
sometimes suggest that the women drink juice in order to increase her glucose
level and stimulate fetal movement. Although this practice is common, research
has not proven it effective.
D Conduction gel should be applied along with two belts. One belt has a Doppler
transducer to detect the fetal heart rate. The other belt has a tocodynamometer to
detect fetal movement or uterine contractions.

Answer to Question 2

A
At the time of delivery, cord blood is collected to determine if baby's blood type is positive and if any antibodies are present. This will determine the presence of sensitization and the need for RhoGAM. Also, not all fetuses of Rh-negative mothers and Rh-positive fathers are Rh-positive. The Kleihauer-Betke test does not determine if the mom has already been sensitized; it only shows evidence of fetal cells in maternal blood during pregnancy.

[mpobi80]

TYSM

[Joy Chen]

Excellent