A nurse is reinforcing teaching about fetal anatomy ultrasound to a client who is at 20 weeks of gestation.
Which of the following information should the nurse include?
The client will be positioned in a prone position.
The ultrasound will occur at 13 weeks of gestation.
The ultrasound will be transvaginal.
The client must have a full bladder.
The Correct Answer is D
Choice A rationale
The client will be positioned in a prone position is incorrect because the prone position is not used for fetal anatomy ultrasounds.
Choice B rationale
The ultrasound will occur at 13 weeks of gestation is incorrect as the typical timing for a detailed fetal anatomy scan is around 18-22 weeks of gestation, not 13 weeks.
Choice C rationale
The ultrasound will be transvaginal is incorrect because at 20 weeks of gestation, a transabdominal ultrasound is more commonly used rather than a transvaginal one.
Choice D rationale
The client must have a full bladder is correct because a full bladder helps lift the uterus out of the pelvis, providing a clearer view during the ultrasound.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Hypothyroidism during pregnancy is associated with increased risks of metabolic disorders, including lipid and glucose metabolism disorders, which can affect both the mother and fetus.
Choice B rationale
hCG levels do not typically plateau in the first trimester; they continue to rise and peak around the 10th week of pregnancy before starting to decline.
Choice C rationale
Thyroid replacement dosing usually needs adjustment during pregnancy to meet the increased thyroid hormone requirements due to physiological changes and fetal development needs.
Choice D rationale
Antenatal fetal surveillance is generally required in the third trimester for hypothyroid pregnant clients to monitor fetal well-being, not during the first trimester.
Correct Answer is D
Explanation
Choice A rationale
Heavy lochia alba is an incorrect choice as lochia alba typically occurs after 10 days postpartum and is characterized by a whitish or yellowish discharge, not red.
Choice B rationale
Heavy lochia rubra is an incorrect choice because lochia rubra is characterized by bright red bleeding but heavy lochia would involve saturation of the pad within an hour, which is not the case here.
Choice C rationale
Moderate lochia serosa is incorrect because lochia serosa is typically pink or brown and occurs from approximately day 4 to day 10 postpartum, not red.
Choice D rationale
Scant lochia rubra is correct as the client is 3 days postpartum with red lochia measuring 2 cm on the pad, which indicates a small amount of bleeding consistent with scant lochia rubra.
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