A primipara at 20-weeks gestation is scheduled for an ultrasound. In preparing the client for the procedure, the nurse should explain that the primary reason for conducting this diagnostic study is to obtain which information?
Chromosomal abnormalities
Sex and size of the infant
Lecithin-sphingomyelin ratio
Fetal growth and gestational age.
The Correct Answer is D
A. Chromosomal abnormalities:
While an ultrasound can sometimes identify structural abnormalities, it's not the primary tool for detecting chromosomal abnormalities. Genetic testing or procedures like amniocentesis are more specific for this purpose.
B. Sex and size of the infant:
An ultrasound is indeed used to determine the sex of the baby and assess its size and growth.
C. Lecithin-sphingomyelin ratio:
The lecithin-sphingomyelin ratio is typically assessed in tests related to fetal lung maturity, which is not the primary purpose of a routine ultrasound.
D. Fetal growth and gestational age:
This is one of the primary purposes of a routine ultrasound during pregnancy. It helps evaluate the baby's growth and ensures it aligns with the expected gestational age.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Provide information about the high-risk nature of her pregnancy:
While it is true that pregnancies after organ transplantation are considered high-risk due to potential complications, the initial recommendation often involves waiting for a specified period.
B. Explain the benefits of a five-year post-transplant waiting period
After a liver transplant, healthcare providers typically recommend waiting for a certain period before attempting pregnancy. This waiting period allows the individual's health to stabilize, and it ensures that the transplanted organ is functioning optimally. Pregnancy, being a physiological stressor, can pose additional challenges to individuals with transplants. Waiting for a few years post-transplant is a precautionary measure to minimize potential risks.
C. Gently remind the client that anti-rejection drugs cause sterility:
This statement is not accurate. Anti-rejection drugs can affect fertility, but they do not cause sterility. The discussion should focus on the potential risks and safety considerations for pregnancy after a liver transplant.
D. Determine if the client is considering options for adopting a child:
While adoption might be an option, the primary intervention should involve discussing the waiting period and potential risks associated with pregnancy after a liver transplant.
Correct Answer is C
Explanation
A. Instruct the client to maintain bed rest for 24 hours:
There is no clear indication for bed rest based solely on a slightly elevated temperature. Bed rest is not a standard recommendation for this situation.
B. Encourage the client to increase her intake of oral fluids:
Increasing fluid intake is a general recommendation for mild elevations in temperature. Adequate hydration can support the body's natural response to infection or inflammation.
C. Schedule a visit with the healthcare provider today:
This option is a prudent choice. A temperature elevation after a medical procedure may indicate an infection, and it's appropriate to schedule a visit with the healthcare provider for further evaluation.
D. Verify the administered Rho(D) immune globulin's compatibility:
While verifying the compatibility of the administered medication is important, it is not the primary concern when a client reports an elevated temperature. In this context, addressing the temperature and potential infection takes precedence.
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