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    Pediatrics Proctored examQuestion 58
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    Pediatrics Proctored exam

    A nurse is teaching a client who is at 23 weeks of gestation and will return to the facility in 2 days for an amniocentesis. Which of the following instructions should the nurse give the client?

    Explanation & Rationale

    A.This is correct because cleansing the abdomen reduces the risk of infection at the puncture site and is standard pre-procedure preparation for amniocentesis. B. This is incorrect at 23 weeks gestation because a partially full bladder is preferred. A partially full bladder helps elevate the uterus, providing better access for the needle and reducing the risk of injury to the fetus. C. This is incorrect because fasting is not necessary for amniocentesis. Clients may eat and drink normally unless sedation or other procedures requiring anesthesia are planned. Restricting food and fluids is unnecessary and could cause discomfort. D. This is incorrect because bowel preparation is not required. The procedure involves the uterus and amniotic sac, not the gastrointestinal tract, so a bowel prep would not affect safety or outcomes.

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