A client is scheduled for an abdominal ultrasound in two weeks to assess fetal growth and development during pregnancy.
Which of these statements made by the client indicates that further teaching is needed?
“I will drink plenty of fluids before my appointment.”
“I will eat a light meal before my appointment.”
“I will wear comfortable clothing.”
“I will arrive at my appointment with a full bladder."
The Correct Answer is B
The client should not eat a light meal before an abdominal ultrasound because it can interfere with the quality of the images.
The client should fast for 8 to 12 hours before the procedure.
Some additional information about the other choices are:
Choice A is correct.
The client should drink plenty of fluids before an appointment for an abdominal ultrasound because it helps to fill the bladder and push the uterus up for better visualization.
Choice C is correct.
The client should wear comfortable clothing that can be easily removed or lifted up to expose the abdomen.
Choice D is correct.
The client should arrive at the appointment with a full bladder because it acts as an acoustic window and improves the quality of the ultrasound images.
Normal ranges for fetal growth and development during pregnancy vary depending on the gestational age, but some general parameters are:
Fetal heart rate: 110 to 160 beats per minute
Biparietal diameter: 2.4 to 9.5 cm
Crown-rump length: 0.8 to 8.4 cm
Femur length: 1.0 to 7.8 cm
Abdominal circumference: 9.4 to 35.6 cm
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
This is because migraine headaches with aura are a contraindication for receiving oral contraceptives, as they increase the risk of stroke and other cardiovascular complications.
Some possible explanations for the other choices are:
Choice B: A 32-year-old client who has endometriosis.
This is not a contraindication for receiving oral contraceptives, as they can actually help reduce the symptoms of endometriosis by suppressing ovulation and reducing menstrual bleeding.
Choice C: A 28-year-old client who has polycystic ovary syndrome (PCOS).
This is not a contraindication for receiving oral contraceptives, as they can help regulate the menstrual cycle and lower the levels of androgens (male hormones) that cause acne, hirsutism (excess hair growth), and other problems in women with PCOS.
Choice D: A 22-year-old client who has irregular menstrual cycles.
This is not a contraindication for receiving oral contraceptives, as they can help normalize the menstrual cycle and prevent unintended pregnancy.
Normal ranges for oral contraceptive doses are:
Estrogen: 10 to 35 mcg of ethinyl estradiol or estradiol valerate
Progestin: varies depending on the type and brand of oral contraceptive
Correct Answer is A
Explanation
The woman should drink several glasses of water before the abdominal ultrasound procedure.
This is because a full bladder helps to push the intestines away and improve the visibility of the uterus and the fetus.
Drinking water also helps to avoid gas buildup in the abdomen, which could interfere with the sound waves.
Choice B is wrong because emptying the bladder would make it harder to see the uterus and the fetus.
Choice C is wrong because lying on the right side would not affect the quality of the ultrasound image.
Choice D is wrong because fasting is not necessary for an abdominal ultrasound, unless instructed by the doctor for a specific reason.
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