A nurse is about to measure the fundal height of a patient who is 22 weeks pregnant.
Where should the nurse anticipate feeling the fundus?

3 cm above the umbilicus.

3 cm below the umbilicus.

Slightly below the umbilicus.

Slightly above the umbilicus.

Answer and Explanation

The Correct Answer is D

The correct answer is D. Slightly above the umbilicus. At about 20 weeks of pregnancy, the fundus of the uterus is usually at the level of the umbilicus. By 22 weeks, the fundus is typically slightly above the umbilicus.

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Correct Answer is ["A","B","C","E"]

Explanation

Choice A rationale

Anomalies in fetal chromosomes can be identified through amniocentesis. This test involves the extraction of a small amount of amniotic fluid, which contains fetal tissues. The chromosomes of the fetus can be examined for abnormalities.

Choice B rationale

Cephalopelvic disproportion refers to a condition where the mother’s pelvis is too small to allow the baby to pass through the birth canal. This condition cannot be identified through amniocentesis. Amniocentesis is a diagnostic procedure that examines the amniotic fluid (not the maternal pelvis or the size of the fetus) to detect chromosomal abnormalities and certain genetic disorders.

Choice C rationale

Fetal gender can be determined through amniocentesis. The test can identify the presence of Y chromosomes, which would indicate a male fetus.

Choice D rationale

Rh incompatibility is a condition that occurs when a mother is Rh-negative and the baby is Rh-positive. This condition cannot be identified through amniocentesis. Instead, it is typically identified through blood tests of the mother and father.

Choice E rationale

Neural tube defects, such as spina bifida and anencephaly, can be identified through amniocentesis. The test can detect high levels of alpha-fetoprotein, which is often present when a fetus has a neural tube defect.

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

Correct Answer is D

Explanation

Choice A rationale

While iron-rich foods are important for overall health and preventing anemia, they do not specifically minimize the risk of having a newborn with a neural tube defect.

Choice B rationale

Limiting alcohol consumption is crucial during pregnancy as it can lead to fetal alcohol syndrome. However, it does not specifically target the prevention of neural tube defects.

Choice C rationale

Aspartame, an artificial sweetener, has been a topic of debate regarding its safety during pregnancy. While it’s generally considered safe in moderation, avoiding foods containing aspartame does not specifically prevent neural tube defects.

Choice D rationale

Consuming foods fortified with folic acid is the most effective way to prevent neural tube defects. Folic acid is a B vitamin that is crucial for proper brain and spine development in the early stages of pregnancy.

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A nurse is about to measure the fundal height of a patient who is 22 weeks pregnant. Where should the nurse anticipate feeling the fundus?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who is at 15 weeks of gestation and is to undergo an amniocentesis.The nurse should explain that the purpose of this test is to identify which of the following conditions?

Correct Answer is ["A","B","C","E"]

Explanation

A nurse is providing nutritional advice to a woman considering pregnancy.What information should the nurse include to minimize the risk of having a newborn with a neural tube defect?

Correct Answer is D

Explanation

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A nurse is providing preconception counseling for a client who is planning a pregnancy.Which of the following supplements should the nurse recommend to help prevent neural tube defects in the fetus?

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A nurse is about to measure the fundal height of a patient who is 22 weeks pregnant.
Where should the nurse anticipate feeling the fundus?