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.

Answer and Explanation

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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Correct Answer is ["1.7"]

Explanation

Step 1: 2 mg/kg × 3400 g × (1 kg ÷ 1000 g) = 0.68 mg

Step 2: 68 mg × (1 mL ÷ 0.4 mg) = 1.7 mL.

The nurse will administer 1.7 mL.

A. Weight loss of 2.8 kg (6.2 lb) B. Hematocrit: 30% C. Vaginal spotting D. Heart rate: 110/min E. BUN: 28 mg/dL

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"C"},"D":{"answers":"A"},"E":{"answers":"A"}}

Explanation

Weight loss of 2.8 kg (6.2 lb): Consistent - Significant weight loss is a classic symptom of hyperemesis gravidarum. The client has lost more than 5% of her pre-pregnancy weight, which is concerning and supports this diagnosis.

Hematocrit: 30%: Not Consistent - Hematocrit measures the proportion of red blood cells in the blood. In hyperemesis gravidarum, the hematocrit may be elevated due to dehydration, not decreased. Therefore, this value is not consistent with the typical presentation.

Vaginal spotting: Not Relevant - While vaginal spotting can be concerning in pregnancy, it is not a specific sign of hyperemesis gravidarum and does not directly relate to the diagnosis of severe nausea and vomiting.

Heart rate: 110/min: Consistent - Tachycardia (elevated heart rate) can occur due to dehydration and the body’s response to prolonged vomiting, making this finding consistent with hyperemesis gravidarum.

BUN: 28 mg/dL: Consistent - Blood urea nitrogen (BUN) is elevated in this client, suggesting dehydration. Dehydration is a common complication of hyperemesis gravidarum due to persistent vomiting and poor oral intake.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A newborn weighs 3400 grams. The healthcare provider has ordered 0.2 mg/kg of atropine sulfate subcutaneously. Based on the label below, how much will the nurse administer in mL? (Write in your answer).

Correct Answer is ["1.7"]

Explanation

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"C"},"D":{"answers":"A"},"E":{"answers":"A"}}

Explanation

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