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?

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

"It is useful for estimating fetal age.”.

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

"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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Correct Answer is A

Explanation

Choice A rationale:

To prevent thrombophlebitis in a postpartum client following a cesarean birth, it is important to promote good circulation and prevent stasis of blood in the lower extremities. Placing pillows under the client's knees while she is resting in bed helps elevate the legs slightly and promotes better venous return, reducing the risk of thrombophlebitis. This position facilitates improved circulation and is a recommended practice.

Choice B rationale:

Applying hot moist soaks to the client's lower legs is not a recommended intervention to prevent thrombophlebitis. In fact, heat can increase inflammation and may worsen the condition. This option would not contribute to the client's plan of care for thrombophlebitis prevention.

Choice C rationale:

Assisting the client to ambulate in the hallway is a good practice to prevent thrombophlebitis, but it may not be suitable for a client who is only 1 day postpartum following a cesarean birth. Early ambulation is encouraged but should be done gradually and at the client's own pace to avoid undue stress on the incision site. Placing pillows under the knees while resting in bed is a more appropriate initial intervention.

Choice D rationale:

Keeping the client on bed rest is not the best option for preventing thrombophlebitis in a postpartum client. Immobility can increase the risk of stasis and clot formation. Promoting circulation, such as elevating the legs with pillows, is a more effective strategy to reduce the risk of thrombophlebitis.

A. February 27, 2023. B. January 11, 2024. C. April 4th, 2024. D. April 11, 2023.

Correct Answer is B

Explanation

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

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

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

Adding one year: April 4, 2024
Subtracting three months: January 4, 2024
Adding seven days: January 11, 2024

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

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 1 day postpartum following a cesarean birth.To prevent thrombophlebitis, the nurse should contribute which of the following interventions to the client's plan of care?

Correct Answer is A

Explanation

A nurse in a prenatal clinic is determining a client's estimated date of delivery using Naegele's rule. The first day of her last menstrual period was April 4, 2023. Which of the following dates should the nurse tell the client is her estimated date of delivery (EDD)?

Correct Answer is B

Explanation

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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?