A client at 32 weeks gestation is being seen for routine prenatal care. Which of the following assessments will the nurse perform during the exam? Select all that apply
Blood pressure
Blood glucose
Fetal heart rate
Pap Smear
Pelvic ultrasound
Fundal height
Correct Answer : A,C,F
A. Blood pressure: Monitoring blood pressure regularly during pregnancy is crucial to detect any signs of hypertension or preeclampsia, which can develop later in pregnancy, particularly after 20 weeks.
B. Blood glucose: A glucose challenge test is performed between 24 and 28 weeks of gestation to screen for gestational diabetes. While a client might have an indication for a repeat or individual blood glucose check at 32 weeks, it is not a routine assessment at this gestational age
C. Fetal heart rate: Checking the fetal heart rate helps assess the baby's well-being and ensures there are no signs of distress. It is a standard part of every prenatal visit to monitor fetal health.
D. Pap Smear: A Pap smear is typically performed early in pregnancy, not at 32 weeks, unless there is a specific concern. It is usually done during the first prenatal visit or in the early second trimester.
E. Pelvic ultrasound: While ultrasound can be used for specific concerns, such as assessing fetal growth or position, it is not routinely performed at 32 weeks unless there is a medical reason for it, like assessing for fetal anomalies. A routine comprehensive ultrasound (anatomy scan) is usually performed between 18 and 22 weeks gestation.
F. Fundal height: Measuring the fundal height is essential to track fetal growth. At 32 weeks, this measurement helps determine whether the baby is growing appropriately in relation to the gestational age.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Report only movements that are strong enough to hurt: Fetal movements should be counted regardless of their intensity. It's important to track all movements to monitor fetal well-being, not just those that are painful or strong.
B. Choose a different time frame each day to count movements: It is important to count fetal movements at the same time each day to establish a consistent pattern and help identify any changes that may indicate concerns. A consistent time frame provides a more reliable assessment.
C. Count fetal movements for 1 hour at the same time each day: The most common recommendation is to count fetal movements for 1 hour, ideally at the same time each day. This allows the mother to notice any changes in fetal activity, which could be indicative of a problem.
D. Call the office if they feel no movement for any 15-minute period: While any significant decrease in fetal movement should be reported, 15 minutes without movement is not usually the threshold for concern. If there is a significant decrease over a longer period, the healthcare provider should be contacted.
Correct Answer is C
Explanation
A. Emphasize the protein, vitamin, and iron needs of pregnancy nutrition: While emphasizing proper nutrition during pregnancy is important, this response does not directly address the client's current behavior or potential underlying health concerns related to pica.
B. Kindly but firmly scold the client to discourage the habit: Scolding the client is not an appropriate or effective approach. A non-judgmental, supportive response is needed to encourage open communication about this habit and to explore potential underlying causes.
C. Suggest they have a hemoglobin assessment done because of the association between pica and iron-deficiency anemia: Pica, the craving for nonfood substances like detergent, chalk, and soap, is often associated with iron-deficiency anemia. It would be appropriate to suggest a hemoglobin assessment to check for anemia.
D. Arrange for a separate appointment to prepare instructions about the hazards of ingesting nonfood substances: While it's important to discuss the risks of ingesting nonfood substances, it would be more helpful to address the potential underlying cause (iron deficiency) first and then discuss the hazards of pica in a supportive way.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.