The nurse is preparing a client for a biophysical profile (BPP). What does this test evaluate?

Correct Answer: C

Rationale: The correct answer is C: Fetal well-being, including movements and amniotic fluid. A Biophysical Profile evaluates the fetus' health by assessing factors like fetal movements, muscle tone, breathing movements, amniotic fluid volume, and fetal heart rate patterns. This test provides valuable information about the fetus' well-being and helps in determining the need for interventions or further monitoring. Explanation of why the other choices are incorrect: A: Maternal blood flow to the placenta is not evaluated by a Biophysical Profile. B: Fetal genetic abnormalities are not assessed through a BPP; it focuses on the fetus' current well-being. D: Cervical dilation and effacement are related to labor progress and not part of a BPP, which focuses on fetal well-being.

Correct Answer: C

Rationale: The correct answer is C: Monitor blood sugar regularly as prescribed. This is crucial in managing gestational diabetes to ensure blood sugar levels are within target range, preventing complications for both mother and baby. Regular monitoring helps track the effectiveness of treatment and dietary adjustments. Avoiding all carbohydrates (A) is not recommended as some are necessary for energy. Checking blood sugar only when symptomatic (B) is insufficient as it may miss important fluctuations. Increasing physical activity significantly (D) is beneficial but not the most important teaching point compared to consistent blood sugar monitoring.

Correct Answer: B

Rationale: The correct answer is B: Respiratory rate of 10 breaths per minute. Magnesium sulfate toxicity can lead to respiratory depression, resulting in a decreased respiratory rate. This is a critical sign of magnesium toxicity and should be addressed promptly. Explanation for other choices: A: Deep tendon reflexes +3 are actually a common finding in clients receiving magnesium sulfate due to its muscle relaxant effects. C: Urine output of 40 mL/hour is within the normal range and does not indicate magnesium toxicity. D: Blood pressure of 120/80 mmHg is also within the normal range and is not a sign of magnesium toxicity.

Correct Answer: B

Rationale: Step 1: Antibiotics can reduce the effectiveness of oral contraceptives by altering gut flora. Step 2: Failure to use a backup method can lead to unintended pregnancy. Step 3: Therefore, it is crucial for the nurse to educate the patient on using a backup method to prevent pregnancy. Summary: Choice A is incorrect as nausea is not the main concern. Choice C is incorrect as not all antibiotics interact with oral contraceptives. Choice D is incorrect as there is a potential interaction between antibiotics and oral contraceptives.

Correct Answer: C

Rationale: The most appropriate contraception method for a woman nearing menopause is an IUD with progestin (Choice C). Progestin-containing IUDs are effective, long-lasting, and suitable for women of various ages. As women approach menopause, the hormonal changes make progestin-containing IUD a favorable option as it offers reliable contraception without the need for daily administration. Additionally, progestin can also help alleviate symptoms like heavy periods that women may experience during perimenopause. Choices A and B are not ideal as oral contraceptives with estrogen can increase the risk of blood clots in older women, and contraceptive injections may not be as convenient for someone nearing menopause. Barrier methods like condoms (Choice D) are less effective and may not provide the level of protection needed during this stage of life.