A nurse is caring for a client who is scheduled for an amniocentesis at 16 weeks gestation.
Which of the following should the nurse report to the provider?
The client’s bladder is full.
The client’s uterus is above the symphysis pubis
The client’s cervix is dilated
The client’s fundal height measures 20 cm
The Correct Answer is C
. The client’s cervix is dilated.
This indicates that the client may be in preterm labor, which is a contraindication for amniocentesis.
Amniocentesis is a procedure that involves inserting a needle into the amniotic sac to obtain a sample of amniotic fluid for genetic testing or other purposes.
It is usually performed between 15 and 20 weeks of gestation.
Choice A is wrong because the client’s bladder should be full for amniocentesis.
This helps to push the uterus upward and away from the bladder, reducing the risk of injury and making it easier to visualize the fetus and the needle.
Choice B is wrong because the client’s uterus should be above the symphysis pubis at 16 weeks of gestation.
This is a normal finding and does not affect the procedure.
Choice D is wrong because the client’s fundal height should measure around 16 cm at 16 weeks of gestation.
A fundal height of 20 cm may indicate a large for gestational age fetus, multiple gestation, or polyhydramnios (excess amniotic fluid), but these are not absolute contraindications for amniocentesis.
However, they may require further evaluation and adjustment of the technique.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B. The nurse should inform her that results are typically available within 7 days.
This is known as the rapid CVS result.
A more detailed set of CVS results will be available within 2 weeks.
Choice A is wrong because 24 hours is too short for the laboratory to test the sample of cells from the placenta.
Choice C is wrong because 10-14 days is the timeframe for the more detailed set of CVS results, not the rapid CVS result.
Choice D is wrong because 30 days is too long for the results to be available.
The woman would need to know the results sooner to make informed decisions about her pregnancy.
Correct Answer is C
Explanation
The level of AFP in a pregnant woman’s blood depends on how far along she is in her pregnancy.
AFP levels are normally high in the early weeks of pregnancy and then decline as the pregnancy progresses.
If the AFP level is too high or too low for the gestational age, it may indicate a problem with the baby’s development.
Choice A is wrong because maternal weight does not affect AFP levels.
Choice B is wrong because fetal heart rate does not affect AFP levels.
Choice D is wrong because the placental function does not affect AFP levels directly, but it may affect the levels of other hormones that are measured along with AFP in a quad screen.
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