A nurse in a provider's office is caring for a client who is at 36 weeks of gestation and is scheduled for an amniocentesis.
The client asks why she is having an ultrasound prior to the procedure.
Which of the following responses by the nurse is appropriate?
"This is a screening tool for spina bifida.”.
"It is useful for estimating fetal age.”.
"It assists in identifying the location of the placenta and fetus.”.
"This will determine if there is more than one fetus.”. .
The Correct Answer is C
Choice A rationale:
"This is a screening tool for spina bifida.”. This statement is incorrect. An ultrasound performed before an amniocentesis is not primarily used as a screening tool for spina bifida. Spina bifida can be detected through other diagnostic tests.
Choice B rationale:
"It is useful for estimating fetal age.”. While ultrasounds can provide information about fetal age, it is not the primary reason for performing an ultrasound before an amniocentesis. The main purpose is to identify the location of the placenta and fetus, which is essential for safely performing the amniocentesis procedure.
Choice C rationale:
"It assists in identifying the location of the placenta and fetus.”. This is the correct answer. An ultrasound before amniocentesis is crucial for locating the fetus and the placenta accurately. This information helps healthcare providers ensure the safe and precise insertion of the needle into the amniotic sac.
Choice D rationale:
"This will determine if there is more than one fetus.”. Determining if there is more than one fetus is an important aspect of prenatal care but is not the primary reason for performing an ultrasound before amniocentesis. It is generally confirmed through earlier ultrasounds during routine prenatal care. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
Choice A rationale:
Blotting the perineal area dry after voiding is an important part of perineal care. Moisture can contribute to perineal infection, so it is essential to keep the area dry. This practice helps prevent the growth of bacteria and reduces the risk of infection.
Choice D rationale:
Cleaning the perineal area from front to back is crucial in reducing the risk of perineal infection. This method helps prevent the transfer of bacteria from the anal area to the perineum and vaginal area, reducing the risk of infection.
Choice E rationale:
Performing hand hygiene before and after voiding is an important aspect of perineal care and infection prevention. Proper hand hygiene helps prevent the transfer of bacteria from the hands to the perineal area and vice versa, reducing the risk of infection.
Choice B rationale:
Applying ice packs to the perineal area several times daily is not a recommended practice for reducing the risk of perineal infection. While ice packs can provide pain relief and reduce swelling, they should not be applied excessively, as prolonged exposure to cold can compromise blood flow and potentially increase the risk of tissue damage or infection.
Choice C rationale:
Sitting on an inflatable donut to protect the perineum is not a recommended practice for reducing the risk of perineal infection. Inflatable donuts can increase pressure on the perineal area, potentially causing discomfort and impairing blood flow. Proper hygiene and keeping the area clean and dry are more effective strategies for infection prevention. .
Correct Answer is C
Explanation
Answer and explanation
A nurse is reinforcing teaching with a newly licensed nurse about the complications associated with maternal gestational diabetes. Which of the following complications should the nurse include? The correct answer is choice C: Newborn hypoglycemia.
Choice A rationale:
Small for gestational age (SGA) newborns are not typically associated with maternal gestational diabetes. Instead, maternal diabetes (both pre-gestational and gestational) is more commonly linked to larger-than-average babies, known as macrosomia or LGA (large for gestational age).
Choice B rationale:
Oligohydramnios is a condition characterized by a decreased volume of amniotic fluid, which can have various causes. While maternal diabetes can contribute to certain complications, it is not a direct cause of oligohydramnios.
Choice C rationale:
Newborn hypoglycemia is a significant complication associated with maternal gestational diabetes. When a pregnant woman has diabetes, her baby may experience high blood sugar levels in the womb, leading to increased insulin production. After birth, the baby's insulin production continues, causing a drop in blood sugar levels, which can result in hypoglycemia. Therefore, this is a complication that should be emphasized in teaching.
Choice D rationale:
Placenta previa is not directly related to maternal gestational diabetes. It is a condition in which the placenta partially or completely covers the cervix, leading to bleeding during pregnancy. It is a separate complication from gestational diabetes and should not be included in teaching about the complications of maternal diabetes.
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