The client is 16 weeks pregnant.
If the pregnancy is progressing as expected, where would the healthcare provider be able to palpate the uterine fundus?
At the umbilicus.
The uterine fundus would not be palpable at 16 weeks.
Halfway between the pubic bone and the umbilicus.
Just above the pubic bone.
The Correct Answer is C
Choice A rationale
At 16 weeks of gestation, the uterine fundus has not yet reached the umbilicus. The umbilicus is typically reached around 20 weeks of gestation. Palpating the fundus at the umbilicus at 16 weeks would suggest a discrepancy in gestational age or a potential complication such as polyhydramnios or multiple gestation, warranting further investigation.
Choice B rationale
The uterine fundus is palpable at 16 weeks of gestation. By this stage, the uterus has grown significantly and ascended out of the pelvis, making it accessible to abdominal palpation. Failure to palpate the fundus at this stage could indicate an inaccurate gestational age, ectopic pregnancy, or other uterine abnormalities, requiring clinical correlation.
Choice C rationale
At 16 weeks of gestation, the uterine fundus is typically palpable approximately halfway between the symphysis pubis and the umbilicus. This anatomical landmark serves as a reliable indicator of gestational age during the second trimester. The fundus ascends by approximately 1 cm per week after 12 weeks of gestation, providing a consistent growth pattern.
Choice D rationale
At 16 weeks of gestation, the uterine fundus is well above the pubic bone. It typically becomes palpable just above the pubic bone around 12 to 14 weeks of gestation as it rises out of the pelvic cavity. Finding the fundus only just above the pubic bone at 16 weeks would suggest a lag in uterine growth or an inaccurate gestational age assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Consumption of alcohol during pregnancy is contraindicated due to its teratogenic effects, which can lead to Fetal Alcohol Spectrum Disorders (FASDs). No amount of alcohol is considered safe during pregnancy, as it can cross the placenta and directly harm fetal development, affecting multiple organ systems.
Choice B rationale
Albacore tuna has higher mercury levels compared to other fish due to its longer lifespan and position in the food chain. High mercury intake during pregnancy can negatively impact fetal neurological development. Pregnant clients are advised to limit albacore tuna to 6 ounces per week, but some guidelines suggest even less or alternative fish.
Choice C rationale
Switching to whole milk provides increased caloric and fat intake, which is beneficial during pregnancy to support fetal growth and maternal energy needs. Whole milk also provides essential fat-soluble vitamins like A and D, and calcium, crucial for fetal bone development, in higher quantities than skim milk.
Choice D rationale
While moderate caffeine intake (generally less than 200 mg per day) is considered acceptable by some organizations during pregnancy, 600 milligrams daily significantly exceeds this recommendation. High caffeine intake is associated with risks such as miscarriage, preterm birth, and low birth weight due to its vasoconstrictive effects.
Correct Answer is B
Explanation
Choice A rationale
Telling the adolescent that wearing the brace is mandatory and refusal is noncompliant behavior can lead to defiance and resentment. This approach fails to acknowledge the adolescent's autonomy and emotional well-being, potentially decreasing adherence due to a feeling of being controlled rather than empowered in their own care.
Choice B rationale
Encouraging expression of feelings provides a safe space for the adolescent to process the emotional challenges associated with brace wear. Connecting with a peer support group offers validation and coping strategies from individuals facing similar experiences, promoting a sense of community and reducing feelings of isolation, thereby improving adherence.
Choice C rationale
Advising the mother to monitor brace usage closely and report nonadherence shifts the responsibility to the parent, potentially fostering conflict and reducing the adolescent's sense of ownership over their treatment. This approach can also lead to increased family tension and further resistance from the adolescent.
Choice D rationale
Emphasizing the importance of brace wear for spinal correction and future mobility is crucial for understanding the therapeutic benefits. However, this cognitive understanding alone may not be sufficient to address the psychosocial and emotional challenges adolescents face, which significantly influence adherence to a restrictive treatment like bracing.
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