A nurse is about to measure the fundal height of a patient who is 22 weeks pregnant.
Where should the nurse anticipate feeling the fundus?

Choice A rationale

The maternal serum alpha-fetoprotein test is a part of what’s often called the “triple screen” that can assess whether a pregnant woman may be at increased risk of carrying a baby with certain disorders, such as neural tube defects (spinal defects) or Down syndrome.

Choice B rationale

While the test can provide information about the risk of certain birth defects, it does not assess various markers of fetal well-being.

Choice C rationale

The test does not identify an Rh incompatibility between the mother and fetus. That would be determined through separate blood tests.

Choice D rationale

The test does not assess fetal lung maturity. Other tests, such as amniocentesis, can provide this information.

Choice A rationale

While iron-rich foods are important for overall health and preventing anemia, they do not specifically minimize the risk of having a newborn with a neural tube defect.

Choice B rationale

Limiting alcohol consumption is crucial during pregnancy as it can lead to fetal alcohol syndrome. However, it does not specifically target the prevention of neural tube defects.

Choice C rationale

Aspartame, an artificial sweetener, has been a topic of debate regarding its safety during pregnancy. While it’s generally considered safe in moderation, avoiding foods containing aspartame does not specifically prevent neural tube defects.

Choice D rationale

Consuming foods fortified with folic acid is the most effective way to prevent neural tube defects. Folic acid is a B vitamin that is crucial for proper brain and spine development in the early stages of pregnancy.