A nurse is teaching a newly licensed nurse about the uses of ultrasonography in the first trimester of pregnancy. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

"Ultrasound is used to observe for placental maturity in the first trimester."

"Ultrasound is used to perform a biophysical profile in the first trimester."

"Ultrasound is used to determine gestational age in the first trimester."

"Ultrasound is used to detect intrauterine growth restriction in the first trimester."

Answer and Explanation

The Correct Answer is C

The correct answer is choice C. Ultrasonography is a diagnostic tool used during pregnancy to visualize the fetus and the maternal reproductive organs. In the first trimester of pregnancy, it is primarily used to determine gestational age, confirm the presence of an intrauterine pregnancy, and assess for fetal viability. It can also be used to identify multiple gestations, evaluate for ectopic pregnancy, and detect certain fetal anomalies. Ultrasound is not typically used to observe for placental maturity or to perform a biophysical profile in the first trimester. Intrauterine growth restriction is typically assessed later in pregnancy using serial ultrasound measurements.

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Correct Answer is A

Explanation

Three uterine contractions within a 20-min period require intervention by the nurse during a nonstress test at 35 weeks of gestation. The nonstress test is used to assess fetal well-being by monitoring the fetal heart rate (FHR) response to fetal movement. The test is considered reactive if there are two or more accelerations of the FHR within a 20-min period, each lasting at least 15 seconds and peaking at least 15 beats above the baseline. In this scenario, the finding that requires intervention by the nurse is three uterine contractions within a 20-min period. This is because frequent or prolonged contractions can indicate preterm labor, which requires immediate intervention

to prevent premature delivery. The nurse should assess the client for signs and symptoms of preterm labor, such as pelvic pressure, low back pain, vaginal bleeding or discharge, and abdominal cramping. The nurse should also notify the provider and prepare the client for further evaluation and possible interventions, such as tocolytic therapy to stop the contractions.

A. Diagnostic results B. Escherichia coli infection resulting in necrotizing enterocolitis Hgb 10g/dL C. Platelet count 50,000 mm D. WBC count 4,000 mm3

Correct Answer is A

Explanation

The nurse should insert an orogastric decompression tube with low wall suction. The newborn has Escherichia coli infection resulting in necrotizing enterocolitis, which can cause abdominal distention, decreased activity level, and bloody stools. The newborn also has a superficial rash on the abdominal wall, which may indicate a bacterial infection. The presence of a fist clenching, thrashing, and crying during light palpation of the

abdomen may indicate pain caused by bowel distention. An orogastric decompression tube with low wall suction can help decompress the bowel and relieve abdominal distention.

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A nurse is teaching a newly licensed nurse about the uses of ultrasonography in the first trimester of pregnancy. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is monitoring a client who is undergoing a nonstress test at 35 weeks of gestation. Which of the following findings requires intervention by the nurse?

Correct Answer is A

Explanation

A nurse is caring for a 2-day-old newborn who was born at 35 weeks of gestation. Exhibits Which of the following actions should the nurse take

Correct Answer is A

Explanation

A nurse is caring for a client who is in active labor. The nurse administers butorphanol IV bolus for pain. Which of the following findings should the nurse report to the provider following this medication?

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