A woman is seven months pregnant, and has come to the obstetrical clinic for a routine prenatal examination. During the assessment, the nurse hears a soft blowing sound above the mother's symphysis pubis
The rate of sound is synchronous with the mother's heartbeat. The nurse identifies this as: 1. A normal sound called funic souffle.
2. A normal sound called uterine souffle.
3. An abnormal sound representing an aortic aneurysm.
4. An abnormal sound representing a false knot in the cord.
2
Rationale:
1. The normal sound called funic souffle is synchronous with the fetal heartbeat and fetal blood flow through the umbilical arteries.
2. The normal sound called uterine souffle is timed precisely with the mother's pulse, and is heard over the mother's pubis during the last months of pregnancy.
3. An abnormal sound representing an aortic aneurysm is an incorrect assessment of this sound.
4. An abnormal sound representing a false knot in the cord is an incorrect assessment of this sound.
You might also like to view...
A patient with acute mania has exhausted staff by noon after joking, manipulating, and insulting all morning. Staff members feel defensive and fatigued. Select the best action
a. Call the health care provider to evaluate the patient. b. Hold a staff meeting to discuss consistency and limit-setting approaches. c. Seclude the patient, and then call the health care provider to write an order. d. Explain to the patient that the behavior is unacceptable. Ask the patient to be more cooperative.
A patient with an autoimmune disorder says, "I don't know why this happened to me. I try to exercise and eat well." How should the nurse respond?
1. "These disorders are usually associated with a vitamin deficiency." 2. "These problems happen when your body misinterprets normal cells as being foreign and attempts to destroy them." 3. "It happened because you were exposed to something repeatedly, and then the body decided it needed to destroy it." 4. "Chronic illnesses are the cause of autoimmune disorders."
In general, a hallmark of adolescent behavior is:
a. risk-taking b. drug use c. sexual activity d. skipping school
Which information should the nurse include in the teaching for the client prescribed ganciclovir (Cytovene)?
A. "This drug will need to be applied multiple times a day." B. "You can expect some burning and stinging after the instillation of the prescription." C. "You may experience sensitivity to light after the use of the prescription." D. "You may notice your eyes becoming swollen with the use of this prescription."