ATI Capstone Week 11 Exam | Nurselytic

Questions 64

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ATI Capstone Week 11 Exam Questions

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Question 1 of 5

A nurse is caring for a client who is having a nonstress test performed. The fetal heart rate (FHR) is 130 to 150/min, but there has been no fetal movement for 15 min. Which of the following actions should the nurse perform?

Correct Answer: B

Rationale: The correct answer is B: Offering the client a snack of orange juice and crackers. This action is appropriate because it can help stimulate fetal movement due to the natural increase in blood sugar levels from consuming the snack. This may lead to an increase in fetal activity, which is a positive sign during a nonstress test. Encouraging the client to consume a snack is a non-invasive intervention that can potentially improve the test results without causing harm to the client or the fetus. It is important to address the lack of fetal movement promptly, and offering a snack is a safe and effective way to do so.

Incorrect choices:
A: Encouraging the client to walk around without the monitoring unit could potentially disrupt the monitoring process and may not necessarily stimulate fetal movement.
C: Induction of labor is not warranted based solely on the absence of fetal movement for 15 minutes during a nonstress test.
D: Turning the client onto her left side is a common intervention to optimize fetal oxygenation but may

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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