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A nurse in a provider's office is caring for a client who is at 36 weeks of gestation and is scheduled for an amniocentesis.
The client asks why she is having an ultrasound prior to the procedure.
Which of the following responses by the nurse is appropriate?

A.

"This is a screening tool for spina bifida.”.

B.

"It is useful for estimating fetal age.”.

C.

"It assists in identifying the location of the placenta and fetus.”.

D.

"This will determine if there is more than one fetus.”. .

Answer and Explanation

The Correct Answer is C

Choice A rationale:

"This is a screening tool for spina bifida.”. This statement is incorrect. An ultrasound performed before an amniocentesis is not primarily used as a screening tool for spina bifida. Spina bifida can be detected through other diagnostic tests.

Choice B rationale:

"It is useful for estimating fetal age.”. While ultrasounds can provide information about fetal age, it is not the primary reason for performing an ultrasound before an amniocentesis. The main purpose is to identify the location of the placenta and fetus, which is essential for safely performing the amniocentesis procedure.

Choice C rationale:

"It assists in identifying the location of the placenta and fetus.”. This is the correct answer. An ultrasound before amniocentesis is crucial for locating the fetus and the placenta accurately. This information helps healthcare providers ensure the safe and precise insertion of the needle into the amniotic sac.

Choice D rationale:

"This will determine if there is more than one fetus.”. Determining if there is more than one fetus is an important aspect of prenatal care but is not the primary reason for performing an ultrasound before amniocentesis. It is generally confirmed through earlier ultrasounds during routine prenatal care. .


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Related Questions

Correct Answer is B

Explanation

To calculate the estimated date of delivery (EDD) using Naegele’s rule, the nurse would:

  1. Add one year to the year of the last menstrual period (LMP).
  2. Subtract three months from the month of the LMP.
  3. Add seven days to the day of the LMP.

Given the first day of the client’s last menstrual period was April 4, 2023:

  1. Adding one year: April 4, 2024
  2. Subtracting three months: January 4, 2024
  3. Adding seven days: January 11, 2024

So, the nurse should tell the client that her estimated date of delivery (EDD) isJanuary 11, 2024.

Correct Answer is B

Explanation

Choice A rationale:

Administering the measles, mumps, rubella (MMR) vaccine two weeks before attempting pregnancy again is not the correct timing. It is important to provide the MMR vaccine postpartum before the client is discharged from the hospital after giving birth. This timing is appropriate to protect the woman from rubella and to avoid vaccinating during pregnancy.

Choice B rationale:

The correct timing for the MMR vaccine is prior to discharge from the hospital after giving birth. This approach ensures that the woman is protected against rubella before leaving the hospital and potentially becoming pregnant again. It is crucial to avoid vaccinating during pregnancy because the MMR vaccine contains live attenuated viruses.

Choice C rationale:

Administering the MMR vaccine prior to giving birth is not the recommended timing. Vaccination should be done postpartum to avoid any potential risks to the developing fetus.

Choice D rationale:

Administering the MMR vaccine when the client does not desire future pregnancies is not the most appropriate option. The vaccine should be given postpartum to protect the woman and any future pregnancies from rubella. It is important to provide vaccination recommendations based on evidence-based guidelines and the client's specific situation.

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