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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Instructing the client to avoid alcohol for 72 hr after treatment is a common instruction given when a client is prescribed certain medications, such as metronidazole, due to the potential for a disulfiram-like reaction. However, this choice does not directly address the client’s symptoms of vaginal itching and discharge.
Choice B rationale
The client’s symptoms are indicative of Bacterial Vaginosis (BV), a common vaginal infection in women of reproductive age. Metronidazole is a medication commonly used to treat this infection. A single dose of 2 g orally is a typical treatment regimen.
Choice C rationale
An oatmeal sitz bath can help soothe irritated skin and reduce inflammation, but it does not treat the underlying cause of the client’s symptoms.
Choice D rationale
Douching is generally not recommended as it can disrupt the normal balance of bacteria in the vagina and can lead to further complications.
Choice E rationale
Recommending the client’s partner receive treatment is important in cases of sexually transmitted infections to prevent reinfection. However, this choice does not directly address the client’s immediate need for treatment.
Correct Answer is A
Explanation
Choice A rationale
The maternal serum alpha-fetoprotein test is a part of what’s often called the “triple screen” that can assess whether a pregnant woman may be at increased risk of carrying a baby with certain disorders, such as neural tube defects (spinal defects) or Down syndrome.
Choice B rationale
While the test can provide information about the risk of certain birth defects, it does not assess various markers of fetal well-being.
Choice C rationale
The test does not identify an Rh incompatibility between the mother and fetus. That would be determined through separate blood tests.
Choice D rationale
The test does not assess fetal lung maturity. Other tests, such as amniocentesis, can provide this information.
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