A woman is at 9 weeks of gestation. The nurse would expect to palpate the fundus at which level?
Select one:

Not palpable above the symphysis at this time

5 cm above the umbilicus

At the level of the umbilicus

Slightly above the symphysis pubis

Answer and Explanation

The Correct Answer is A

a.   At 9 weeks of gestation, the uterus is still within the pelvic cavity and not palpable above the symphysis pubis.
b.   The fundus is not expected to be palpable 5 cm above the umbilicus until around 20 weeks of gestation.
c.   The fundus is not expected to be palpable at the level of the umbilicus until around 20 weeks of gestation.

d.   The fundus is not expected to be palpable slightly above the symphysis pubis at 9 weeks of gestation.

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Correct Answer is C

Explanation

a. This may be done if the fetal heart rate (FHR) tracing is not clear, but it is not the first priority in this situation.
b. Early decelerations can indicate fetal head compression and is a normal finding hence there is no need of notifying the healthcare provider.
c. One of the FHR patterns that may be observed is early decelerations, which are symmetrical decreases in FHR that coincide with uterine contractions. Early decelerations are usually benign and reflect fetal head compression during contractions. The nurse's first priority in this case is to document as a normal finding and continue to monitor the FHR and uterine activity.
d. This may help relieve pressure on the fetal head and improve FHR, but it is not the first priority in this situation.

A. Limit alcohol and tobacco consumption. B. Increase intake of iron-rich foods. C. Avoid foods containing aspartame. D. Consume foods fortified with folic acid

Correct Answer is ["D"]

Explanation

a. This is an important recommendation for overall health but is not specifically related to reducing the risk of NTDs.
b. This is an important recommendation for overall health but is not specifically related to reducing the risk of NTDs.
c. This is an important recommendation for overall health but is not specifically related to reducing the risk of NTDs.
d. Folic acid supplementation before and during pregnancy has been shown to reduce the risk of NTDs in newborns.

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A woman is at 9 weeks of gestation. The nurse would expect to palpate the fundus at which level? Select one:

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Correct Answer is C

Explanation

A nurse is instructing a woman who is contemplating pregnancy about nutritional needs. To reduce the risk of giving birth to a newborn who has neural tube defects (NTD), which of the following information should the nurse include in the teaching? Select one:

Correct Answer is ["D"]

Explanation

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A woman is at 9 weeks of gestation. The nurse would expect to palpate the fundus at which level?
Select one: