A 35-weeks-pregnant client is undergoing a nonstress test (NST). During the 20-minute examination, the nurse notes three fetal movements accompanied by accelerations of the fetal heart rate, each 15 bpm, lasting15 seconds. The nurse interprets this test to be:
Answer(s): B
(A) In a nonreactive NST, the criteria for reactivity are not met. (B) A reactive NST shows at least two accelerations of FHR with fetal movements, each 15 bpm, lasting 15 seconds or more, over 20 minutes. (C, D) This term is used to interpret a contraction stress test (CST), or oxytocin challenge test, not an NST.
The nurse is caring for a laboring client. Assessment data include cervical dilation 9 cm; contractions every 12 minutes; strong, large amount of "bloody show." The most appropriate nursing goal for this client would be:
Answer(s): C
(A) Privacy may help the laboring client feel safer, but measures that enhance coping take priority. (B) The frequency of assessments do increase in transition, but helping the client to maintain control and cope with this phase of labor takes on importance. (C) This laboring client is in transition, the most difficult part of the first stage of labor because of decreased frequency, increased duration and intensity, and decreased resting phase of the uterine contraction. The client's ability to cope is most threatened during this phase of labor, and nursing actions aredirected toward helping the client to maintain control. (D) Safety is a concern throughout labor, but helping the client to cope takes on importance in transition.
A male client is scheduled for a liver biopsy. In preparing him for this test, the nurse should:
Answer(s): D
(A) There is no NPO restriction prior to a liver biopsy. (B) The client would need to hold his breath for 510 seconds. (C) There is no pretest laxative given. (D) Following the test, the client is watched for hemorrhage and shock.
Share your comments for NCLEX NCLEX-RN exam with other users:
great simulation
very g inood
q35 should be a
sap c_ts450_2021
nice questions
ecellent materil for unserstanding
good so far
this is way too informative
very helpfull
q.189 - answers are incorrect.
awesome job in getting these questions
i cant find aws certified practitioner clf-c01 exam in aws website but i found aws certified practitioner clf-c02 exam. can everyone please verify the difference between the two clf-c01 and clf-c02? thank you
grazie mille. i got a satisfactory mark in my exam test today because of this exam dumps. sorry for my english.
some of the answers are incorrect. need to be reviewed.
so far so good
i am really liking it
thanks good stuff
need dump c_tadm_23
next time i will write a full review
first time using this site
please sent me oracle 1z0-1105-22 pdf
very helpful
good info about oml
very useful to practice
this website is very helpful.
good content
so challenging
17 should be d ,for morequery its scale out
nice question
yes.
good mateial
good practice exam
impressivre qustion
questions seem helpful