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A nurse is performing a contraction stress test (CST) on a client who is at 40 weeks of gestation.
The results of the test indicate a negative CST. Which of the following actions should the nurse take?

A.

Repeat the CST in 20 min.

B.

Administer an IV fluid bolus.

C.

Prepare the client for cesarean birth.

D.

Allow the labor to progress naturally.

E.

Allow the labor to progress naturally.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Repeating the CST isn't necessary with a negative result, which indicates no significant uterine contractions affecting the fetus.

 

Choice B rationale

Administering an IV fluid bolus is not warranted by a negative CST result.

 

Choice C rationale

Preparing for a cesarean birth isn't necessary since a negative CST indicates no immediate fetal distress.

 

Choice D rationale

A negative CST indicates that there are no late decelerations, so the nurse should allow the labor to progress naturally.


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View Related questions

Correct Answer is A

Explanation

Choice A rationale

Terbutaline can cause tachycardia. A heart rate of 132/min is significantly higher than normal and could indicate severe cardiovascular effects.

Choice B rationale

While headaches can occur with terbutaline, they are generally not life-threatening and don't require immediate intervention compared to tachycardia.

Choice C rationale

Nasal congestion is a minor side effect and not a priority compared to a significantly elevated heart rate.

Choice D rationale

Tremors are common with terbutaline use, but they are usually not as concerning as a significantly elevated heart rate

Correct Answer is B

Explanation

Choice A rationale

Cesarean birth is not necessarily required for GBS-positive clients as long as IV antibiotic prophylaxis is administered during labor to prevent transmission to the newborn.

Choice B rationale

IV antibiotic prophylaxis, typically with penicillin or ampicillin, is given to GBS-positive clients during labor to prevent neonatal GBS infection.

Choice C rationale

Obtaining a vaginal culture at 39 weeks of gestation is not necessary if the client was already screened and found positive for GBS at 36 weeks.

Choice D rationale

Metronidazole is used to treat bacterial vaginosis or trichomoniasis, not GBS infection; thus, it is not appropriate for this scenario. .

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