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

Explanation

Choice A rationale

Feeling the baby move, also known as quickening, is a presumptive sign of pregnancy. Presumptive signs are those that suggest a woman could be pregnant, but they’re not definitive. Quickening is often described as a fluttering sensation and is usually felt between 16 and 25 weeks of gestation.

Choice B rationale

Positive signs of pregnancy are those that can only be explained by pregnancy. These include hearing the baby’s heartbeat, visualizing the fetus on ultrasound, and feeling the baby move by a healthcare provider.

Choice C rationale

Probable signs of pregnancy are those that are strongly suggestive of pregnancy but could be caused by other conditions. These include changes in the uterus, changes in the cervix, and positive pregnancy tests.

Choice D rationale

There is no classification of “possible” signs of pregnancy in medical terminology.

A. The client is immune to the rubella virus. B. The client needs a rubella vaccination immediately. C. The client should receive a rubella immunization post-delivery. D. The client is not currently infected with the rubella virus.

Correct Answer is C

Explanation

Choice A rationale

A negative rubella titer indicates that the client does not have immunity to the rubella virus. Therefore, the statement that the client is immune to the rubella virus is incorrect.

Choice B rationale

While it is true that a person with a negative rubella titer needs a rubella vaccination, it is not recommended to administer the vaccine immediately during pregnancy due to the potential risks to the fetus. Therefore, this statement is not correct in this context.

Choice C rationale

The correct interpretation of a negative rubella titer in an antepartum client is that the client should receive a rubella immunization post-delivery. This is because rubella can cause serious complications if contracted during pregnancy, including congenital rubella syndrome in the newborn. Vaccination post-delivery will protect the client in future pregnancies.

Choice D rationale

A negative rubella titer does not provide information about whether the client is currently infected with the rubella virus. It only indicates that the client does not have immunity to the virus. Therefore, this statement is not a correct interpretation of the data.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse in a prenatal clinic is caring for a client who believes that she might be pregnant because she feels the baby moving.Which of the following statements should the nurse make?

Correct Answer is A

Explanation

A nurse is attending to an antepartum client whose lab results show a negative rubella titer.What is the correct interpretation of this data?

Correct Answer is C

Explanation

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?

During a care conference, a nurse shares the latest research on improving breastfeeding success for first-time mothers. Which Quality and Safety Education for Nurses competency does this action support?

A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation.The client reports urinary frequency and asks if this will continue until delivery.Which of the following responses should the nurse make?

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A nurse is reviewing the health history of a client who has a new prescription for a combined oral contraceptive (COC). The nurse recognizes that which of the following client medications can interfere with the effectiveness of the COC?

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A nurse in a prenatal clinic is caring for a client who asks what her estimated date of delivery will be if her last menstrual period was May 4, 2022. Which of the following is the appropriate response by the nurse?

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?