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?

Halfway between the symphysis pubis and the umbilicus.

Just above the pubic bone

The uterus would not be palpable at 16 weeks

At the umbilicus

Answer and Explanation

The Correct Answer is A

A. Halfway between the symphysis pubis and the umbilicus. – Correct; at 16 weeks, the fundus is typically midway between the symphysis pubis and the umbilicus.

B. Just above the pubic bone – Incorrect; the fundus is at the pubic symphysis at 12 weeks, not 16 weeks.

C. The uterus would not be palpable at 16 weeks – Incorrect; the uterus is palpable by 12 weeks and grows above the symphysis pubis as pregnancy progresses.

D. At the umbilicus – Incorrect; the fundus reaches the umbilicus at 20 weeks, not 16 weeks.

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Correct Answer is ["A","B"]

Explanation

A. Methicillin-resistant Staphylococcus aureus (MRSA) – Correct; requires contact precautions due to the risk of direct and indirect transmission.

B. Vancomycin-resistant Enterococcus (VRE) – Correct; requires contact precautions as it spreads through contaminated surfaces and hands.

C. Pertussis – Incorrect; pertussis is transmitted via droplets, so droplet precautions are needed.

D. Influenza – Incorrect; influenza spreads via droplets, requiring droplet precautions.

E. Group A Streptococcus B-hemolytic – Incorrect; requires droplet precautions, unless skin infections are present, which would then require contact precautions.

A. "There is no way to predict how long it will last for each individual client, so you'll just have to wait and see." B. "No, it should only last until about your 12th week, but it will return near the end of the pregnancy." C. "Yes, it will, but if you decrease your fluid intake, especially at bedtime, it won't be so bothersome." D. "No, in most cases it only lasts until about the 12th week, but it will continue if you have poor bladder tone."

Correct Answer is B

Explanation

A. "There is no way to predict how long it will last for each individual client, so you'll just have to wait and see." – Incorrect; this does not provide helpful education.
B. "No, it should only last until about your 12th week, but it will return near the end of the pregnancy." – Correct; urinary frequency occurs in the first trimester due to hormonal changes and again in the third trimester due to fetal pressure on the bladder.
C. "Yes, it will, but if you decrease your fluid intake, especially at bedtime, it won't be so bothersome." – Incorrect; reducing fluid intake may cause dehydration.
D. "No, in most cases it only lasts until about the 12th week, but it will continue if you have poor bladder tone." – Incorrect; bladder tone does not significantly affect this symptom.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse on a pediatric unit is reviewing transmission-based precautions. Which of the following communicable diseases should cause the nurse to implement contact precautions? (Select All that Apply.)

Correct Answer is ["A","B"]

Explanation

A nurse is caring for a client in the prenatal clinic who is at 7 weeks of gestation. The client reports urinary frequency and asks the nurse if this will continue throughout her pregnancy. Which of the following responses by the nurse is appropriate?

Correct Answer is B

Explanation

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