The nurse is preparing a 38-year-old pregnant woman for an amniocentesis to determine if there are any congenital disorders or fetal abnormalities present. Which of the following is a nursing consideration before and during the testing?
A) Instruct the patient not to empty her bladder before the test.
B) Monitor the woman's vital signs during the test and for one day afterward.
C) Use an external fetal heart monitor to ensure fetus is not in distress.
D) Instruct the woman that minor bleeding and cramping normally occur within 24 hours.
C
Feedback:
The nurse should monitor fetal heart tones (FHTs) to ensure that the fetus is not in distress; the external fetal monitor is most often used. The nurse should also instruct the client to empty her bladder before the test (to prevent bladder rupture) and monitor the woman's vital signs during the test and for at least 1 hour afterward. The woman should be instructed to notify the birth attendant if she has any difficulties after returning home, including any bleeding or cramping.
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