More questions
More questions ( 14 Questions)
A nurse is providing discharge instructions to a client who had a nonreactive nonstress test (NST) followed by a biophysical profile (BPP) with a score of 8/10.
Which of the following statements by the client indicates an understanding of the teaching?
The client does not need to have another BPP in a week unless there are other indications of fetal compromise. The BPP may be repeated once or twice a week depending on the clinical situation.
The client should count the baby’s kicks every day to monitor fetal well-being. A nonreactive nonstress test (NST) indicates that the fetal heart rate did not increase adequately with fetal movement, which may suggest fetal hypoxia or distress. A biophysical profile (BPP) is a combination of NST and ultrasound that assesses five parameters: fetal breathing, movement, tone, amniotic fluid volume, and NST.
Each parameter is scored 0 or 2, and the total score ranges from 0 to 10. A score of 8/10 or 10/10 is considered normal, while a score of 6/10 is equivocal and ≤ 4/10 is abnormal. A BPP score of 8/10 with a nonreactive NST means that the fetus has normal biophysical activities but may have chronic hypoxia.
The client does not need to have an amniocentesis as soon as possible.
Amniocentesis is an invasive procedure that involves inserting a needle into the uterus to obtain amniotic fluid for analysis. It is usually done for prenatal diagnosis of genetic disorders or fetal lung maturity, not for fetal well-being.
The client does not need to deliver the baby by cesarean section. Cesarean section is a surgical delivery that may be indicated for various maternal or fetal conditions, such as placenta previa, breech presentation, fetal distress, or failure to progress in labor. A BPP score of 8/10 with a nonreactive NST does not warrant a cesarean section unless there are other risk factors or complications.
The client should count the baby’s kicks every day to monitor fetal well-being. A nonreactive nonstress test (NST) indicates that the fetal heart rate did not increase adequately with fetal movement, which may suggest fetal hypoxia or distress. A biophysical profile (BPP) is a combination of NST and ultrasound that assesses five parameters: fetal breathing, movement, tone, amniotic fluid volume, and NST.
Each parameter is scored 0 or 2, and the total score ranges from 0 to 10. A score of 8/10 or 10/10 is considered normal, while a score of 6/10 is equivocal and ≤ 4/10 is abnormal. A BPP score of 8/10 with a nonreactive NST means that the fetus has normal biophysical activities but may have chronic hypoxia.
Choice A is wrong because the client does not need to have another BPP in a week unless there are other indications of fetal compromise. The BPP may be repeated once or twice a week depending on the clinical situation.
Choice C is wrong because the client does not need to have an amniocentesis as soon as possible.
Amniocentesis is an invasive procedure that involves inserting a needle into the uterus to obtain amniotic fluid for analysis. It is usually done for prenatal diagnosis of genetic disorders or fetal lung maturity, not for fetal well-being.
Choice D is wrong because the client does not need to deliver the baby by cesarean section. Cesarean section is a surgical delivery that may be indicated for various maternal or fetal conditions, such as placenta previa, breech presentation, fetal distress, or failure to progress in labor. A BPP score of 8/10 with a nonreactive NST does not warrant a cesarean section unless there are other risk factors or complications.
