The nurse is interviewing a client who is pregnant in her first trimester, and the client inquires about their gestational age. The nurse understands which assessment will provide the most accurate gestational age?

Ultrasonography.

Human chorionic gonadotropin (HCG) levels.

Nagele’s rule.

Fundal height.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Ultrasonography provides the most accurate assessment of gestational age, especially in the first trimester, by measuring the crown-rump length.

Choice B rationale

HCG levels can indicate pregnancy but are not as accurate for determining the exact gestational age.

Choice C rationale

Nagele's rule is based on the menstrual cycle and may not be accurate if cycles are irregular.

Choice D rationale

Fundal height measurement is less accurate in early pregnancy and more useful in later trimesters.

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

Explanation

Choice A rationale: Surgical history does not necessarily increase pregnancy complications, especially with resolved conditions like cholecystectomy and appendectomy. However, each surgical procedure's impact varies, and this client's surgeries were neither recent nor directly related to reproductive health.

Choice B rationale: Asthma and hypertension both increase pregnancy risk. Uncontrolled asthma can lead to preeclampsia and low birth weight. Hypertension, particularly with losartan use, can affect placental function and fetal development, necessitating close monitoring and medication adjustment.

Choice C rationale: Advanced maternal age (over 35) heightens risks such as chromosomal abnormalities, gestational diabetes, and preeclampsia. Pregnancy complications increase with age, necessitating more frequent prenatal monitoring and potential interventions to ensure maternal and fetal health.

Choice D rationale: BMI information isn't provided, making it impossible to assess its impact. BMI outside the normal range can influence pregnancy outcomes, but without this data, we cannot definitively link it to increased risk in this scenario.

Choice E rationale: Psychosocial factors, like recent marriage and work stress, do influence pregnancy, but the primary clinical concerns here are medical history and age. Addressing psychosocial stress is still important but is secondary to physiological conditions.

A. The ductus arteriosus helps connect the umbilical artery to the inferior vena cava. B. The ductus arteriosus only carries oxygenated blood from the left side of the heart to the right side. C. The ductus arteriosus is found between the right and left atrium. D. In fetal circulation, the pulmonary artery and aorta are connected via the ductus arteriosus.

Correct Answer is D

Explanation

Choice A rationale

The ductus arteriosus does not connect the umbilical artery to the inferior vena cava. It connects the pulmonary artery to the aorta, bypassing the lungs in fetal circulation.

Choice B rationale

The ductus arteriosus carries deoxygenated blood from the right side of the heart to the aorta. It does not carry oxygenated blood from the left side of the heart.

Choice C rationale

The ductus arteriosus is not located between the right and left atrium. It is a blood vessel connecting the pulmonary artery to the aorta in fetal circulation.

Choice D rationale

In fetal circulation, the pulmonary artery and aorta are connected via the ductus arteriosus. This allows blood to bypass the fetal lungs, which are not yet functional.

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The nurse is interviewing a client who is pregnant in her first trimester, and the client inquires about their gestational age. The nurse understands which assessment will provide the most accurate gestational age?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an obstetrics office is reviewing a client's medical record. Exhibits Which of the following findings increase the client's risk for pregnancy complications? Select the 2 findings that increase the client's risk for pregnancy complications.

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

Explanation

Which statement below accurately describes the role of the ductus arteriosus?

Correct Answer is D

Explanation

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