In assessing a primigravida woman at 15 weeks gestation by dates, the nurse palpates the fundus at the umbilicus. Based on this assessment finding, it is most important for the nurse to obtain information about the occurrence of which condition?

Urinary frequency.

Lightening.

Fetal movement.

Braxton-Hicks contractions.

Answer and Explanation

The Correct Answer is C

A. Urinary frequency: Urinary frequency is common during pregnancy due to increased pressure on the bladder from the growing uterus. However, it is not directly related to fundal height assessment.

B. Lightening: Lightening is the descent of the baby's head into the pelvis, which typically occurs in the third trimester, not at 15 weeks.

C. Fetal movement: Fetal Movement is an appropriate choice because it directly relates to determining the presence of a viable fetus. This information can assist in ruling out a complete molar pregnancy, where no fetal movement would be expected. It can guide the nurse to investigate further, potentially leading to more specific diagnostic procedures such as an ultrasound to confirm the underlying cause of the abnormal fundal height.

D. Braxton-Hicks contractions: Braxton-Hicks contractions can occur throughout pregnancy, but they are not a cause for concern at 15 weeks.

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Correct Answer is B

Explanation

A. Stand behind the client to avoid intimidation. This is not an appropriate teaching strategy. Standing behind a client can actually increase intimidation and anxiety, as it does not allow for direct eye contact and clear communication.

B. Turn on overhead lights while giving instructions. Proper lighting is essential for older adults, who may have visual impairments. Turning on overhead lights ensures that the client can clearly see the materials and the nurse, enhancing understanding and engagement during the teaching session.

C. Provide handouts written at a 12th grade reading level. Handouts for patient education should be written at a lower reading level, generally around the 5th to 6th grade level, to ensure comprehension by a broad audience, including those with limited literacy skills. A 12th grade reading level is too high for effective patient education for most adults.

D. Use background music to promote relaxation. Background music can be distracting rather than relaxing during educational sessions, especially for older adults who may have hearing impairments or cognitive issues. Clear and focused communication is more effective without additional auditory distractions.

A. Takes a first step alone. B. Sits alone unsupported. C. Can feed self finger food. D. Pulls self to sitting position.

Correct Answer is D

Explanation

A. Takes a first step alone: This is typically achieved closer to 12 months.

B. Sits alone unsupported: Some 8-month-olds might achieve this, but pulling to sit is a more consistent milestone at this age.

C. Can feed self finger food: While some babies might explore finger foods at 8 months, independent feeding is usually a skill developed later.

D. Pulls self to sitting position: This demonstrates developing upper body strength and coordination, commonly seen around 8-9 months.

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In assessing a primigravida woman at 15 weeks gestation by dates, the nurse palpates the fundus at the umbilicus. Based on this assessment finding, it is most important for the nurse to obtain information about the occurrence of which condition?

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Naxlex Comprehensive Predictor Exams

The nurse is teaching an older adult client newly diagnosed with type 2 diabetes mellitus about symptoms and treatment of hypoglycemia. Which action should the nurse implement while teaching the client?

Correct Answer is B

Explanation

Parents bring their 8-month-old child to the clinic because they are concerned that the child is not developing as an older sibling did. Which developmental characteristic should the nurse expect an 8-month-old to exhibit?

Correct Answer is D

Explanation

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In assessing a primigravida woman at 15 weeks gestation by dates, the nurse palpates the fundus at the umbilicus. Based on this assessment finding, it is most important for the nurse to obtain information about the occurrence of which condition?

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