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 ["B","D","E"]
Explanation
A. Restrict the intake of fruit, vegetables, and fluid: There is no need to restrict the intake of fruit, vegetables, or fluids for a child with a ventriculoperitoneal (VP) shunt. Maintaining proper hydration and nutrition is essential for overall health, and a balanced diet is encouraged.
B. Expect to have the shunt replaced as the child grows: As the child grows, the ventriculoperitoneal shunt may need to be replaced or adjusted to accommodate the growing head and body. This is an important aspect of long-term management of the condition.
C. Examine the site every year for signs of swelling or redness: It is important to monitor the shunt site daily or regularly, more frequently than once a year. Parents should be taught to check the site for signs of infection, swelling, or redness and to notify the healthcare provider if any of these occur.
D. Observe the child for signs of increased intracranial pressure: Increased intracranial pressure (ICP) is a critical concern for children with a VP shunt. Symptoms such as vomiting, lethargy, irritability, or changes in behavior may indicate increased ICP, which requires immediate medical attention.
E. Notify the health provider if the child develops a fever: A fever can be a sign of infection, which could indicate a complication with the shunt, such as an infection of the shunt or its components. Parents should notify the healthcare provider promptly if the child develops a fever.
Correct Answer is D
Explanation
A. Abdominal discomfort: While burping can help relieve some discomfort after feeding, the primary concern following pyloric stenosis surgery is avoiding pressure on the incision line, rather than just abdominal discomfort.
B. Intestinal obstruction: Burping after feedings can help reduce the buildup of air in the stomach, but it is not directly aimed at preventing intestinal obstruction. Obstruction is more related to the surgical site and healing process, not the burping.
C. Contaminating flatulence: Flatulence is not a concern related to burping after pyloric stenosis surgery. Burping is done to release air swallowed during feeding, not to manage flatulence.
D. Pressure on the incision line: Burping helps to release any air swallowed during feeding, reducing abdominal distention and minimizing pressure on the surgical site. This is important to ensure proper healing and comfort after the procedure.
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