The nurse explains to a client how ultrasound (US) can aid in the assessment of the fetus. Which of the following should the nurse include in the explanation? Drag and drop.
Determine fetal blood type
Estimate gestational age
Diagnose chromosomal abnormalities
Assess amniotic fluid volume
Estimate fetal growth
Determine placental location
Correct Answer : B,D,E,F
A. Determine fetal blood type: Ultrasound cannot determine the fetal blood type. This requires laboratory tests such as cord blood analysis or direct sampling.
B. Estimate gestational age: Ultrasound is commonly used to estimate gestational age by measuring the size of the fetus, particularly in the first and second trimesters. It helps provide an accurate prediction of the due date based on fetal measurements.
C. Diagnose chromosomal abnormalities: While ultrasound can help identify physical markers of potential chromosomal abnormalities (such as Down syndrome), it cannot definitively diagnose chromosomal conditions. Additional testing, such as amniocentesis or chorionic villus sampling, would be required for a definitive diagnosis.
D. Assess amniotic fluid volume: Ultrasound is an effective tool to assess the volume of amniotic fluid, which is crucial in evaluating fetal well-being and detecting conditions like oligohydramnios or polyhydramnios.
E. Estimate fetal growth: Ultrasound can be used to estimate fetal growth by measuring the size of the fetus and comparing it to standard growth charts. This helps in assessing whether the fetus is growing appropriately for the gestational age.
F. Determine placental location: Ultrasound is the primary method for determining the location of the placenta within the uterus. This is important to ensure that the placenta is not obstructing the birth canal (placenta previa) or located in a position that could lead to complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Emphasize the protein, vitamin, and iron needs of pregnancy nutrition: While emphasizing proper nutrition during pregnancy is important, this response does not directly address the client's current behavior or potential underlying health concerns related to pica.
B. Kindly but firmly scold the client to discourage the habit: Scolding the client is not an appropriate or effective approach. A non-judgmental, supportive response is needed to encourage open communication about this habit and to explore potential underlying causes.
C. Suggest they have a hemoglobin assessment done because of the association between pica and iron-deficiency anemia: Pica, the craving for nonfood substances like detergent, chalk, and soap, is often associated with iron-deficiency anemia. It would be appropriate to suggest a hemoglobin assessment to check for anemia.
D. Arrange for a separate appointment to prepare instructions about the hazards of ingesting nonfood substances: While it's important to discuss the risks of ingesting nonfood substances, it would be more helpful to address the potential underlying cause (iron deficiency) first and then discuss the hazards of pica in a supportive way.
Correct Answer is C
Explanation
A. Preventing the infant from vomiting: While preventing vomiting is important to avoid putting pressure on the surgical site, it is not the most immediate concern after a cleft lip repair. Postoperative care focuses on protecting the surgical site and preventing trauma to the lip.
B. Keeping the infant in a prone position: The infant should be kept in a position that avoids pressure on the surgical site. In most cases, the infant is kept in a supine or side-lying position to prevent direct pressure on the repair site and promote healing.
C. Preventing crust formation on the suture line: Preventing crust formation is crucial to prevent infection, scarring, or trauma to the surgical repair site and to achieve a good cosmetic outcome. Crusts on the suture line can disrupt healing and should be avoided by gentle cleaning and application of prescribed ointments.
D. Protecting the infant's tongue from swelling: While protecting the infant's tongue is important in general, it is not the primary concern after cleft lip repair. The focus should be on protecting the lip repair site, as this is where the surgical intervention took place.
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