The nurse is collecting data from a client who is at 32 weeks' gestation. The nurse measures the fundal height in centimeters and expects the findings to be which of the following?
1. 22 cm
2. 28 cm
3. 32 cm
4. 40 cm
3
Rationale: From 22 weeks until term, the fundal height measured in centimeters is roughly plus or minus 2 cm of the gestational age of the fetus in weeks. If the fundal height exceeds weeks of gestation, additional assessment is necessary to investigate the cause for the unexpected uterine size. If an unexpected increase in uterine size is present, it may be that the estimated date of de-livery is incorrect and the pregnancy is further advanced than previously thought. If the estimat-ed date of delivery is correct, it may be possible that more than one fetus is present.
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The nurse is providing care for a patient with chronic obstructive pulmonary disease
When describing the process of respiration the nurse explains how oxygen and carbon dioxide are exchanged between the pulmonary capillaries and the alveoli. The nurse is describing what process? A) Diffusion B) Osmosis C) Active transport D) Filtration
The nurse is teaching parents about the importance of good nutrition for their child who has cancer. Which components does the nurse include as important for this child's diet? (Select all that apply.)
A. High calories B. High carbohydrates C. High vitamins D. Low minerals E. Low protein
Which is an accurate planning goal?
A. The patient will lose 20 pounds when he agrees to follow the prescribed diet B. The patient will lose 20 pounds in 20 days C. The patient will lose 1 to 2 pounds a week until the goal of 20 pounds is reached. D. The patient will lose 2 pounds a week for 10 weeks.
A child returns from surgery in which a stoma was created in the abdominal wall to the bladder. The nurse identifies this as a:
A) vesicostomy. B) ureteral stent. C) continent urinary diversion. D) bladder augmentation.