A woman is at 9 weeks of gestation. The nurse would expect to palpate the fundus at which level?
Select one:

Not palpable above the symphysis at this time

5 cm above the umbilicus

At the level of the umbilicus

Slightly above the symphysis pubis

Answer and Explanation

The Correct Answer is A

a.   At 9 weeks of gestation, the uterus is still within the pelvic cavity and not palpable above the symphysis pubis.
b.   The fundus is not expected to be palpable 5 cm above the umbilicus until around 20 weeks of gestation.
c.   The fundus is not expected to be palpable at the level of the umbilicus until around 20 weeks of gestation.

d.   The fundus is not expected to be palpable slightly above the symphysis pubis at 9 weeks of gestation.

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Correct Answer is D

Explanation

a. The fetus establishing iron stores is not a cause of physiologic anemia during pregnancy.
b. Inadequate intake of iron can contribute to iron-deficiency anemia during pregnancy but is not the cause of physiologic anemia.
c. Decreased production of erythrocytes (RBC) is not a cause of physiologic anemia during pregnancy.
d. Dilution of hemoglobin concentration due to increased plasma volume during pregnancy is a cause of physiologic anemia.

A. Assess the odor of the amniotic fluid B. Prepare the client for emergency cesarean section. C. Recheck the client's temperature in 8 hr. D. Administer glucocorticoids intramuscularly.

Correct Answer is A

Explanation

a. An abnormal odor of the amniotic fluid, such as a foul or fishy smell, may indicate infection and is a concern with ruptured membranes and an elevated temperature.
b. This may be necessary if the client has an infection or other complications, but it is not the first action to take.
c. This is not an appropriate action when the client has an elevated temperature and ruptured membranes.
d. Glucocorticoids may be administered to promote fetal lung maturity in preterm labor, but they are not appropriate in this situation.

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A woman is at 9 weeks of gestation. The nurse would expect to palpate the fundus at which level? Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Physiologic anemia often occurs during pregnancy as a result of

Correct Answer is D

Explanation

A nurse admits a woman who is at 38 weeks of gestation and in early labor with ruptured membranes. The nurse determines that the client's oral temperature is 38.9° C (102° F). Besides notifying the provider, which of the following is an appropriate nursing action?

Correct Answer is A

Explanation

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A woman is at 9 weeks of gestation. The nurse would expect to palpate the fundus at which level?
Select one: