The nurse who is assessing a G2 P1 client palpates the fundal height at the location noted on the picture below (near the umbilicus). The nurse concludes that the fetus is equal to which of the following gestational ages?
16 weeks.
20 weeks.
24 weeks.
28 weeks.
The Correct Answer is B
Choice A rationale
At 16 weeks, the fundal height is typically below the umbilicus. This location is more indicative of a fetus at around 20 weeks.
Choice B rationale
At 20 weeks, the fundal height is usually at the level of the umbilicus, indicating this is the correct gestational age.
Choice C rationale
At 24 weeks, the fundal height is usually above the umbilicus, suggesting a more advanced gestation than the picture indicates.
Choice D rationale
At 28 weeks, the fundal height is significantly above the umbilicus, making this option incorrect for the given scenario.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Ambivalent feelings are common in early pregnancy due to hormonal changes and the significant life adjustments that accompany pregnancy. It is normal for pregnant women to experience mixed emotions as they adapt to the reality of impending parenthood.
Choice B rationale
Suggesting the client speak to her mother about these feelings may not be appropriate as it could dismiss the client's current feelings and needs. While family support is valuable, the nurse should first address the client's concerns directly.
Choice C rationale
Referring the client to a counselor may be necessary in some cases, but it is essential to first normalize the client's feelings. It helps in providing immediate reassurance and understanding before suggesting further intervention.
Choice D rationale
Telling the client "Don't worry, you will be fine once the baby is born" is dismissive and minimizes her current concerns. It is important to validate her feelings and provide supportive responses to help her cope with her emotions.
Correct Answer is A
Explanation
Choice A rationale
During pregnancy, there is an increase in fibrinogen and a decrease in fibrinolysis. These changes increase the risk of thromboembolic events, as they promote clot formation.
Choice B rationale
Increased blood volume and cardiac output are normal in pregnancy but do not directly increase the risk of thromboembolic events. They are adaptations to meet the increased metabolic demands.
Choice C rationale
Decreased hematocrit and increased RBC levels are typical in pregnancy but are related to the physiological dilution of blood, not thromboembolic risks.
Choice D rationale
Decreased blood pressure and hemoglobin are common in pregnancy due to increased blood volume but are not associated with increased thromboembolic risks. .
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