A nurse is auscultating fetal heart tones with a Doppler device for a client who is at 12 weeks of gestation. Where should the nurse expect to auscultate the fetal heart tones?

Umbilical area

Suprapubic area

Above the left iliac crest

Below the liver border on the right abdomen

Answer and Explanation

The Correct Answer is C

Rationale:

A)   Incorrect - The umbilical area is not a typical location for auscultating fetal heart tones.
B)   Incorrect - The suprapubic area is not a common location for auscultating fetal heart tones.
C)   Correct - At 12 weeks of gestation, the nurse would typically auscultate the fetal heart tones above the left iliac crest, which is in the lower abdomen. This is where the uterus is located at this stage of pregnancy.
D)   Incorrect - Auscultating below the liver border on the right abdomen is not a standard practice for fetal heart tone assessment.

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Correct Answer is B

Explanation

A) Incorrect- Urinary retention can be a concern but is not as immediately life-threatening as respiratory depression.
B) Correct - A respiratory rate of 11/min is significantly lower than the normal range and indicates respiratory depression, which can be life-threatening. It requires immediate attention.
C) Incorrect- A blood pressure of 105/62 mm Hg is within a normal range for an adolescent and does not require immediate intervention.
D) Incorrect- Blurred vision might be a side effect of medications, but respiratory depression takes priority due to its potential to lead to serious complications.

A. Check the newborn's skin for ecchymosis. B. Assist the mother to breastfeed the newbom after birth. C. Obtain a stool sample of meconium. D. Assist with administering a blood transfusion to the newborn. E. Check the newborn's blood glucose level.

Correct Answer is ["A","B","E"]

Explanation

A) Correct - Checking the newborn's skin for ecchymosis can help identify potential birth-related injuries, as large-for-gestational-age newborns might experience more trauma during delivery.
B) Correct - Breastfeeding can help regulate the newborn's blood glucose levels and provide necessary nutrients.
C) Incorrect- Meconium is the early stool passed by a newborn and might be checked for various reasons but is not specifically related to a large-for-gestational-age newborn.
D) Incorrect- Administering a blood transfusion to a newborn is not typically a part of the care plan for large-for-gestational-age newborns.
E) Correct- The nurse should check the newborn's blood glucose level regularly and provide interventions as needed.

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A nurse is auscultating fetal heart tones with a Doppler device for a client who is at 12 weeks of gestation. Where should the nurse expect to auscultate the fetal heart tones?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from an adolescent who is postoperative following a cesarean birth and is receiving morphine for pain. Which of the following findings is the nurse's priority?

Correct Answer is B

Explanation

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Correct Answer is ["A","B","E"]

Explanation

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