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NEW QUESTION 24
At 32 weeks' gestation, a client is scheduled for a fetal activity test (nonstress test). She calls the clinic and asks the RN, "How do I prepare for the test I am scheduled for?" The RN will most likely inform her of the following instructions to help prepare her for the test:

• A. "You will have to remain as still as you possibly can."
• B. "Do not eat any food or drink any liquids before the test is started."
• C. "You need to know that an IV is always started before the test."
• D. "You will need to drink 6 to 8 glasses of water to fill your bladder."

Answer: A

Explanation:
(A) An IV line is not started in a nonstress test, because this test is used as an indicator of fetal well-being. This test measures fetal activity and heart rate acceleration. (B) The bladder does not have to be full prior to this test. It is not a sonogram test where a full bladder enables other structures to be scanned. (C) It has been proved that eating or drinking liquids prior to the test can assist in increasing fetal activity. (D) Any maternal activity will interfere with the results of the test.

NEW QUESTION 25
Diagnostic assessment findings for an infant with possible coarctation of the aorta would include:

• A. Diminished or absent femoral pulses
• B. A third heart sound
• C. A diastolic murmur
• D. Pulse pressure difference between the upper extremities

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) S1 and S2 in an infant with coarctation of the aorta are usually normal. S3 and S4 do not exist with this diagnosis. (B) Either no murmur will be heard or a systolic murmur from an associated cardiac defect will be heard along the left upper sternal border. A diastolic murmur is not associated with coarctation of the aorta. (C) Pulse pressure differences of>20 mm Hg exist between the upper extremities and the lower extremities. It is important to evaluate the upper and lower extremities with the appropriate- sized cuffs. (D) Femoral and pedal pulses will be diminished or absent in infants with coarctation of the aorta.

NEW QUESTION 26
In client teaching, the nurse should emphasize that fetal damage occurs more frequently with ingestion of drugs during:

• A. First trimester
• B. Third trimester
• C. Every trimester
• D. Second trimester

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) Organogenesis occurs in the first trimester. Fetus is most susceptible to malformation during this period. (B) Organogenesis has occurred by the second trimester. (C) Fetal development is complete by this time. (D) The dangerous period for fetal damage is the first trimester, not the entire pregnancy.

NEW QUESTION 27
After 7 hours in restraints and a total of 30-mg haloperidol in divided doses, a client complains of stiffness in his neck and his tongue "pulling to one side." These extrapyramidal symptoms (EPS) will most likely be relieved by the administration of:

• A. Flurazepan (Dalmane)
• B. Benztropine (Cogentin)
• C. Thiothixene (Navane)
• D. Lorazepam (Ativan)

Answer: B

Explanation:
(A) Lorazepam is an antianxiety agent that produces muscle relaxation and inhibits cortical and limbic arousal. It has no action in the basal ganglia of the brain. (B) Benztropine acts to reduce EPS by blocking excess CNS cholinergic activity associated with dopamine deficiency in the basal ganglia by displacing acetylcholine at the receptor site. (C) Thiothixene is an antipsychotic known to block dopamine in the limbic system, thereby causing EPS. (D) Flurazepan is a hypnotic that acts in the limbic system, thalamus, and hypothalamus of the CNS to produce sleep. It has no known action in the vasal ganglia.

NEW QUESTION 28
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