NCLEX REVIEW: NUR 245 UNIT 5 EXAM
QUESTIONS WITH CORRECT ANSWERS
NEW MODIFIED EXAM LATEST UPDATE
The nurse is reviewing four prenatal charts. Which client would be an
appropriate candidate for a contraction stress test (CST)?
1) A client with multiple gestation.
2) A client with an incompetent cervix.
3) A client with placenta previa.
4) A client with intrauterine growth retardation. --CORRECT ANSWER--4)
A contraction stress test (CST) is indicated for a client with intrauterine growth
retardation (IUGR), because it will assess the respiratory function of the
placenta, which may be adversely affected by the conditions causing IUGR. The
contraction stress test is contraindicated for the client with multiple gestation, an
incompetent cervix, or placenta previa.
A prenatal client at 22 weeks gestation is scheduled for an amniocentesis. What
would be an appropriate nursing action to prepare this client for the procedure?
1) Encourage the client to take fluids.
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,2) Position the client in a left lateral tilt.
3) Administer Rh immune globulin to the client.
4) Cleanse the client's abdominal skin with alcohol. --CORRECT ANSWER--
2)
An appropriate nursing action to prepare this client for amniocentesis would be
to position the client in a left lateral tilt to prevent supine hypotension. The skin
is cleansed with povidone-iodine (Betadine), not alcohol. Rh immune globulin
is appropriate only for nonsensitized Rh-negative women after the procedure.
Encouraging the client to take fluids is not appropriate prior to the procedure,
because the client may become nauseous.
A prenatal client at 30 weeks gestation is scheduled for a nonstress test (NST)
and asks the nurse, "What is this test for?" The nurse correctly responds that the
test is used to determine: (Select all that apply.)
1) Fetal well-being
2) Fetal lung maturity
3) Adequate fetal oxygenation
4) Accelerations of fetal heart rate --CORRECT ANSWER--1, 3, 4
An NST documents fetal well-being by measuring fetal oxygenation and fetal
heart rate accelerations, but not fetal lung maturity.
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, The nurse is teaching a prenatal client about chorionic villus sampling (CVS).
The nurse correctly teaches the client that the risks associated with CVS
include: (Select all that apply.)
1) Maternal hypertension
2) Rupture of membranes
3) Intrauterine infection
4) Spontaneous abortion --CORRECT ANSWER--2. 3. 4.
A client at 28 weeks gestation is admitted to the labor and birth unit. Which test
might be used to assess the client's fetal status?
1) Amniocentesis
2) Contraction stress test (CST)
3) Ultrasound for physical structure
4) Biophysical profile (BPP) --CORRECT ANSWER--4)
Biophysical profile would be used to assess the client's fetal status at 28 weeks
gestation. Ultrasound for physical structure is limited to identifying the growth
and development of the fetus, and does not assess for other parameters of fetal
well-being. Contraction stress test is appropriate in the third trimester.
Amniocentesis tests for lung maturity, not overall status.
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QUESTIONS WITH CORRECT ANSWERS
NEW MODIFIED EXAM LATEST UPDATE
The nurse is reviewing four prenatal charts. Which client would be an
appropriate candidate for a contraction stress test (CST)?
1) A client with multiple gestation.
2) A client with an incompetent cervix.
3) A client with placenta previa.
4) A client with intrauterine growth retardation. --CORRECT ANSWER--4)
A contraction stress test (CST) is indicated for a client with intrauterine growth
retardation (IUGR), because it will assess the respiratory function of the
placenta, which may be adversely affected by the conditions causing IUGR. The
contraction stress test is contraindicated for the client with multiple gestation, an
incompetent cervix, or placenta previa.
A prenatal client at 22 weeks gestation is scheduled for an amniocentesis. What
would be an appropriate nursing action to prepare this client for the procedure?
1) Encourage the client to take fluids.
Page 1 of 17
,2) Position the client in a left lateral tilt.
3) Administer Rh immune globulin to the client.
4) Cleanse the client's abdominal skin with alcohol. --CORRECT ANSWER--
2)
An appropriate nursing action to prepare this client for amniocentesis would be
to position the client in a left lateral tilt to prevent supine hypotension. The skin
is cleansed with povidone-iodine (Betadine), not alcohol. Rh immune globulin
is appropriate only for nonsensitized Rh-negative women after the procedure.
Encouraging the client to take fluids is not appropriate prior to the procedure,
because the client may become nauseous.
A prenatal client at 30 weeks gestation is scheduled for a nonstress test (NST)
and asks the nurse, "What is this test for?" The nurse correctly responds that the
test is used to determine: (Select all that apply.)
1) Fetal well-being
2) Fetal lung maturity
3) Adequate fetal oxygenation
4) Accelerations of fetal heart rate --CORRECT ANSWER--1, 3, 4
An NST documents fetal well-being by measuring fetal oxygenation and fetal
heart rate accelerations, but not fetal lung maturity.
Page 2 of 17
, The nurse is teaching a prenatal client about chorionic villus sampling (CVS).
The nurse correctly teaches the client that the risks associated with CVS
include: (Select all that apply.)
1) Maternal hypertension
2) Rupture of membranes
3) Intrauterine infection
4) Spontaneous abortion --CORRECT ANSWER--2. 3. 4.
A client at 28 weeks gestation is admitted to the labor and birth unit. Which test
might be used to assess the client's fetal status?
1) Amniocentesis
2) Contraction stress test (CST)
3) Ultrasound for physical structure
4) Biophysical profile (BPP) --CORRECT ANSWER--4)
Biophysical profile would be used to assess the client's fetal status at 28 weeks
gestation. Ultrasound for physical structure is limited to identifying the growth
and development of the fetus, and does not assess for other parameters of fetal
well-being. Contraction stress test is appropriate in the third trimester.
Amniocentesis tests for lung maturity, not overall status.
Page 3 of 17
