The nurse is preparing a client for a nonstress test. What instruction is most appropriate?

Correct Answer: C

Rationale: The correct answer to the question, "The nurse is preparing a client for a nonstress test. What instruction is most appropriate?" is option C: "You will need to press a button each time you feel the baby move." This instruction is correct because during a nonstress test, the purpose is to monitor the baby's heart rate in response to its own movements. The mother is provided with a button to press when she feels the baby move, which allows the healthcare provider to correlate the fetal movements with changes in the baby's heart rate. This helps in assessing the baby's well-being and determining if there are any signs of distress. Option A, "You need to fast for 12 hours before the test," is incorrect because fasting is not required for a nonstress test. It is a non-invasive procedure that does not necessitate fasting. Option B, "You will be given medication to stimulate fetal movements," is incorrect because a nonstress test is designed to monitor the baby's own movements naturally, without the need for any external stimulation. Option D, "You must lie flat on your back during the test," is incorrect because during a nonstress test, the mother is usually in a comfortable position, such as reclining in a chair or on a bed, to promote fetal movement and maternal comfort. In an educational context, understanding the correct instructions for a nonstress test is crucial for nursing students and healthcare professionals working in maternal newborn care. It is essential to know the purpose of the test, the correct procedure to follow, and how to educate and support the mother undergoing the test to ensure accurate results and optimal maternal-fetal outcomes.

Correct Answer: C

Rationale: In the scenario of a client in labor with meconium-stained amniotic fluid, the priority action is to prepare for potential neonatal resuscitation (Option C). Meconium-stained amniotic fluid indicates potential fetal distress due to the presence of meconium, which can lead to respiratory complications if aspirated by the newborn during delivery. Therefore, being prepared for immediate neonatal resuscitation is crucial to address any respiratory distress or complications that may arise in the newborn. Administering oxygen to the mother (Option A) may be beneficial, but the priority is the well-being of the newborn in this situation. Notifying the healthcare provider (Option B) is important, but immediate action to address potential neonatal complications takes precedence. Increasing IV fluid rate (Option D) is not the priority when dealing with meconium-stained amniotic fluid; the focus should be on the newborn's respiratory status and immediate interventions if needed. In an educational context, understanding the implications of meconium-stained amniotic fluid on the newborn's health and the need for prompt neonatal resuscitation can help nurses provide effective and timely care in labor and delivery settings. Prioritizing actions based on the potential risks to the newborn's health is essential in maternal newborn nursing practice.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) This is common due to fetal descent. Rationale: - Lower abdominal pressure and frequent urination at 36 weeks are common symptoms due to the descent of the fetal head into the pelvis, known as engagement or lightening. This physiological process occurs as the baby prepares for birth. - Preterm labor (Option A) typically presents with regular contractions, lower back pain, and sometimes vaginal bleeding. It is crucial to differentiate between normal signs of pregnancy progression and potential signs of preterm labor to ensure appropriate interventions and monitoring. - Urinary tract infections (Option B) may present with symptoms like burning sensation during urination, cloudy urine, and strong-smelling urine. While pregnant women are more susceptible to UTIs, the symptoms described in the question are more related to fetal descent. - Braxton Hicks contractions (Option D) are irregular, painless contractions that can occur throughout pregnancy. While they may cause some discomfort, they are not typically associated with lower abdominal pressure and frequent urination at 36 weeks. Educational context: Understanding the physiological changes that occur during late pregnancy is crucial for maternal newborn nurses to provide accurate information, support, and care to pregnant clients. Educating clients about common signs and symptoms of pregnancy progression versus potential complications like preterm labor or infections empowers them to make informed decisions about their health and well-being.

Correct Answer: B

Rationale: In the context of pharmacology and maternal newborn nursing, proper management of heartburn during pregnancy is crucial for the well-being of both the mother and the developing fetus. The best advice to give to a client experiencing heartburn during pregnancy is to eat small, frequent meals (Option B). This recommendation helps prevent overeating, which can exacerbate heartburn symptoms by putting pressure on the stomach. By eating smaller meals more frequently, the stomach is not overly distended, reducing the likelihood of reflux and heartburn. Option A, lying down immediately after eating, is incorrect because it can worsen heartburn symptoms due to the horizontal position allowing stomach acid to flow back into the esophagus. Option C, drinking a glass of water with meals, may provide some temporary relief by diluting stomach acid, but it does not address the underlying issue of overeating or stomach distension. Option D, consuming spicy foods to aid digestion, is incorrect as spicy foods can actually trigger or worsen heartburn symptoms in many individuals. Educationally, it is important to emphasize to pregnant clients the significance of dietary modifications in managing common discomforts like heartburn. Teaching about appropriate meal sizes and frequency can empower clients to take control of their symptoms in a safe and effective manner, promoting a healthier pregnancy experience for both mother and baby.

Correct Answer: C

Rationale: In the context of managing gestational diabetes, the best recommendation for managing blood sugar levels is option C: Eat balanced meals and monitor blood sugar levels. This recommendation is crucial as it emphasizes a holistic approach to managing blood sugar levels during pregnancy. Eating balanced meals ensures that the client receives a mix of nutrients, including carbohydrates, which are essential for energy. Monitoring blood sugar levels allows the client to track how different foods affect their blood sugar and make necessary adjustments. This approach promotes stable blood sugar levels, which is vital for the health of both the mother and the baby. Option A, avoiding all carbohydrates, is not recommended as carbohydrates are an important source of energy and nutrients. Completely eliminating them can lead to nutritional deficiencies and is not sustainable in the long term. Option B, exercising for 60 minutes daily, is beneficial for overall health but may not be sufficient on its own to manage blood sugar levels in gestational diabetes. While exercise is important, dietary management and blood sugar monitoring play a more direct role in controlling blood sugar levels. Option D, only taking insulin when blood sugar is high, is not a comprehensive approach to managing gestational diabetes. Relying solely on insulin without addressing dietary factors and monitoring blood sugar levels may not provide optimal control and can lead to fluctuations in blood sugar levels. In an educational context, it is important for nurses to emphasize the importance of a balanced approach to managing gestational diabetes, including proper nutrition, regular monitoring, and, if needed, appropriate medication. Empowering clients with the knowledge and skills to manage their condition effectively can lead to better outcomes for both the mother and the baby.