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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Free Nursing Study Resources

Correct Answer is A

Explanation

A) Correct - Keeping the car seat rear-facing is recommended until your baby reaches the age of 2 or the weight and height limits specified by the car seat manufacturer. This is to provide maximum protection to the baby's developing head and neck.
B) Incorrect- Placing the shoulder harness at the level of the baby's shoulders is important, but the rear-facing position is a higher priority.
C) Incorrect- The retainer clip should be positioned at the level of the baby's armpits to ensure proper placement of the harness straps.
D) Incorrect- The angle of recline is important to prevent the baby's head from flopping forward, but the rear-facing position itself is more crucial.

A. Advise the client to avoid using a breast pump B. Provide the client with ice packs for her breasts. C. Encourage the client to wear a loose-fitting bra. D. Applying purified lanolin to the breasts can help soothe and moisturize the nipples, making breastfeeding more comfortable and providing relief from breast engorgement.

Correct Answer is D

Explanation

A) Incorrect- Using a breast pump can actually help relieve breast engorgement by expressing excess milk, so this advice is not appropriate.
B) Incorrect- Applying ice packs to the breasts can decrease milk production and might not provide as much relief as other interventions.
C) Incorrect- Wearing a supportive, well-fitting bra is a good recommendation, but it might not provide enough relief for breast engorgement on its own.
D) Correct - Applying purified lanolin to the breasts can help soothe and moisturize the nipples, making breastfeeding more comfortable and providing relief from breast engorgement.

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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

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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