Concerning assessment of the fetus, the maternity nurse should be aware that:
1. the fetal heart tones are heard (in the second trimester) by a Doppler stethoscope, whereas the fetal heart rate (third trimester) is heard by the ultrasound fetoscope or stethoscope.
2. the measure of fundal height on the woman's abdomen is a gross measure, and various techniques and procedures can be used on the same patient.
3. there is no need to use ultrasound exams (sonograms) until later in the pregnancy unless there are indications of distress.
4. expectant mothers should count fetal kicks after a meal.
4
1. Incorrect. Fetal heart tones can be heard by a fetoscope in the first trimester; by the second trimester fetal heart rate can be heard by the Doppler stethoscope.
2. Incorrect. The fundal height is an important measure that should be determined with pre-cision, consistently using the same technique and positioning of the patient.
3. Incorrect. Routine use of ultrasounds is recommended in early pregnancy; it dates the pregnancy and provides useful information on the health of the fetus.
4. Correct. Regular fetal movement is a reliable indicator of fetal health. Four kicks an hour is a good benchmark.
You might also like to view...
After bathing and repositioning a patient, the nurse notices the following readings on the bedside monitor: PAWP, 20 mm Hg and PAP, 28/12 mm Hg. Assessment notes no changes in patient condition. Which of the following statements would be true?
a. The patient may be having a silent MI. b. The monitoring system is not functioning properly. c. The patient is at increased risk for congestive heart failure. d. The patient has pericardial tamponade.
Sex education courses are usually taught to children in grades 6 to 8 because:
A) Children are ready developmentally to learn this content. B) The parents may not have taught them because of the explicit nature of the content. C) Each state mandates this content be taught in the schools. D) Children younger than these grades cannot understand sexual reproduction.
Loss of motor function is called ____________________
Fill in the blank(s) with correct word
The nurse is managing care for clients who will receive ibuprofen (Advil) for long term therapy. What are the primary laboratory tests the nurse will assess prior to initiation of therapy?
1. Electrolytes 2. Hemoglobin and hematocrit 3. Bleeding times 4. Liver function tests 5. Serum amylase