NCLEX Flashcards on Obstetric Nursing
56. A nurse has performed a nonstress test on a pregnant client and is reviewing the fetal monitor strip. The nurse interprets the test as reactive and understands that this indicates:
a) normal findings
b) abnormal findings
c) the need for further evaluation
d) that the findings on the monitor were difficult to interpret
57. A nonstress test is performed on a client who is pregnant and the results of the test indicate nonreactive findings. The physician orders a contraction stress test to be done and the results are documented as negative. The nurse interprets this finding as indicating:
a) a normal test result
b) an abnormal test result
c) a high risk for fetal demise
d) the need for a cesarean delivery
58. A nurse is reviewing a nutritional plan of care with a pregnant client and is identifying the food items highest in folic acid. The nurse determines that the client understands the foods that supply the highest amounts of folic acid if the client states that she will include which of the following in the daily diet?
a) milk
b) yogurt
c) bananas
d) leafy, green vegetables
59. A pregnant client tells a nurse that she has been craving "unusual foods." The nurse gathers additional assessment data from the client and discovers that the client has been ingesting daily amounts of white clay dirt from her backyard. Laboratory studies are performed on the client. The nurse reviews the laboratory results and determines that which of the following indicates a physiological consequence of this client's practice?
a) hematocrit, 38%
b) glucose, 86 mg/dL
c) hemoglobin, 9.1 g/dL
d) white blood cell count, 12,400 mm3
60. A pregnant client who is at 30 weeks gestation comes to the clinic for a routine visit, and the nurse performs an assessment on the client. Which observation made by the nurse during the assessment indicates need for teaching?
a) the client is wearing sneakers
b) the client is wearing knee-high hose
c) the client is wearing flat shoes with rubber soles
d) the client is wearing pants with an elastic waistband
NCLEX Flashcards on Obstetric Nursing:
ANSWERS AND RATIONALE
56) A
- a reactive nonstress is a normal result. To be considered reactive, the baseline fetal heart rate must be within normal range (120 to 160 bpm) with good long-term variability. In addition, two or more fetal heart rate accelerations of at least 15 bpm must occur, each with a duration of at least 15 seconds, in a 20-minute interval.
57) A
- contraction stress test results may be interpreted as negative (normal), positive (abnormal), or equivocal. A negative test result indicates that no late decelerations occurred in the fetal heart rate, although the fetus was stressed by three contractions of at least 40 seconds duration in a 10-minute period. Therefore, options B, C, and D are incorrect interpretations.
58) D
- leafy green vegetables are rich in folate (folic acid). Bananas provide potassium, milk and yogurt supply calcium.
59) C
- Pica cravings often lead to iron deficiency anemia, resulting in a lowered hemoglobin level. The laboratory values options A, B, and D are within normal limits for the pregnant client.
60) B
- varicose veins often develop in the lower extremities during pregnancy. Any constricting clothing such as knee-high hose impede venous return from the lower legs and thus place the client at high risk for developing varicosities. Client should be encourage to wear panty hose or support hose. Flat nonslip shoes with proper support are important to assist the pregnant woman to maintain proper posture and balance and minimize the risk for falls. Pants with an elastic waistband are comfortable and not constricting.
Or go back to NCLEX Flashcards on Obstetric Nursing (1-5) to start the practice test from the beginning.
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