A nurse is caring for a client who is coming in for her first prenatal visit and it is estimated to be 9 weeks gestation.
An ultrasound is scheduled.
The nurse should explain to the client that the ultrasound is being done today to assess for which of the following?
Chromosomal defect.
Fetal lung maturity.
Fetal heartbeat.
Fetal position in utero.
The Correct Answer is C
Choice A rationale
Chromosomal defects are typically assessed using different tests, such as chorionic villus sampling or amniocentesis, rather than an ultrasound at this early stage.
Choice B rationale
Fetal lung maturity cannot be assessed at 9 weeks gestation because the lungs are not yet developed. This assessment is usually done later in pregnancy if preterm delivery is anticipated.
Choice C rationale
At 9 weeks gestation, the primary purpose of an ultrasound is to confirm the presence of a fetal heartbeat, which indicates a viable pregnancy.
Choice D rationale
The position of the fetus in utero is not a concern at this early stage of pregnancy. Fetal positioning becomes relevant later in pregnancy, closer to delivery.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale
While a history of rheumatic heart disease is significant, it does not directly correlate with the need for priority teaching on Quad screening. This condition requires careful cardiac monitoring and management during pregnancy.
Choice B rationale
A history of preterm labor is important and may require additional monitoring and interventions, but it is not a direct indication for priority teaching on Quad screening, which assesses risk for certain fetal conditions.
Choice C rationale
Exposure to HIV requires careful management and monitoring to reduce the risk of mother-to-child transmission. However, it is not specifically linked to the need for Quad screening, which is focused on detecting chromosomal abnormalities.
Choice D rationale
A history of having a child with spina bifida places this client at higher risk for having another child with neural tube defects or chromosomal abnormalities. Therefore, priority teaching on Quad screening, which includes markers for such conditions, is essential. .
Correct Answer is A
Explanation
Choice A rationale
This represents 5 pregnancies (2 elective abortions, 1 twin birth, 1 spontaneous twin abortion, and current pregnancy), 1 term birth, 0 preterm births, 2 abortions (excluding current pregnancy), and 1 living child.
Choice B rationale
Incorrect because it lists 1 term birth and 3 abortions, which does not accurately reflect the client's history.
Choice C rationale
Incorrect because it states 4 pregnancies and 2 living children, missing the current pregnancy and miscounting the living children.
Choice D rationale
Incorrect as it accounts for 3 pregnancies, incorrectly summing the term birth and spontaneous abortions without considering the current pregnancy.
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