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?

3 cm above the umbilicus.

3 cm below the umbilicus.

Slightly below the umbilicus.

Slightly above the umbilicus.

Answer and Explanation

The Correct Answer is D

The correct answer is D. Slightly above the umbilicus. At about 20 weeks of pregnancy, the fundus of the uterus is usually at the level of the umbilicus. By 22 weeks, the fundus is typically slightly above the umbilicus.

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Correct Answer is D

Explanation

The correct answer is Choice D

Choice A rationale: Lanugo, very fine hairs, begin to cover the baby's body around week 20, not week 36. These hairs help protect the skin and usually disappear before birth. By week 36, the lanugo has mostly disappeared, and the baby is almost fully developed.

Choice B rationale: The sex of the baby is determined at conception based on the chromosomes carried by the sperm and egg. However, the external genitalia do not become distinguishable until around week 12 of pregnancy, making week 8 too early for sex determination.

Choice C rationale: Most women first feel fetal movements, known as quickening, between weeks 18 and 22, not week 24. This can vary based on individual factors, but week 24 is generally later than the typical range for first fetal movements.

Choice D rationale: The baby's heartbeat can usually be heard using a Doppler stethoscope by around 12 weeks of pregnancy. This marks a significant milestone and reassures expectant parents about their baby's health and development at this early stage

A. Instruct the client to avoid alcohol for 72 hr after treatment. B. Administer metronidazole 2 g POx dose. C. Perform an oatmeal sitz bath. D. Recommend the client’s partner receive treatment.

Correct Answer is B

Explanation

Choice A rationale

Instructing the client to avoid alcohol for 72 hr after treatment is a common instruction given when a client is prescribed certain medications, such as metronidazole, due to the potential for a disulfiram-like reaction. However, this choice does not directly address the client’s symptoms of inflamed labia majora and minora and a large amount of frothy, yellow-green, malodorous discharge.

Choice B rationale

The client’s symptoms are indicative of Trichomoniasis, a sexually transmitted infection caused by a parasite. Metronidazole is a medication commonly used to treat this infection. A single dose of 2 g orally is a typical treatment regimen.

Choice C rationale

An oatmeal sitz bath can help soothe irritated skin and reduce inflammation, but it does not treat the underlying cause of the client’s symptoms.

Choice D rationale

Recommending the client’s partner receive treatment is important in cases of sexually transmitted infections to prevent reinfection. However, this choice does not directly address the client’s immediate need for treatment.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is teaching about fetal development to a group of clients in the antenatal clinic. Which of the following statements should the nurse include in the teaching?

Correct Answer is D

Explanation

Correct Answer is B

Explanation

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?

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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?