When measuring the fundal height, if you find the fundus at the umbilicus, this usually indicates a pregnancy at:
A. 20 weeks
B. 16 weeks
C. 12 weeks
D. 10 weeks
ANS: A
Assessment of fundal height provides an estimation of gestational age in relationship to uterine size. Fundal height is measured by placing the end of a tape measure at the symphysis pubis and extending it to the fundus (Fig. 19.2). The uterus is usually palpable above the symphysis at 12 weeks of gestation, midway between the symphysis pubis and umbilicus at 16 weeks, and at the umbilicus at 20 weeks.
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When should the nurse of a patient who is ordered to have blood drawn for a lipid profile schedule it for this profile to achieve accurate results?
A) The blood specimen for a lipid profile should be obtained immediately after the patient's largest meal of the day. B) The blood specimen for a lipid profile should be obtained after a 12-hour fast. C) The blood specimen should be obtained immediately after the patient has received his daily dose of cholesterol-lowering medications. D) The blood specimen should be obtained immediately prior to the patient receiving his daily dose of cholesterol-lowering medications.
A client has received 45% of a 500 mL bag of intravenous (IV) solution. How many mL of IV solution has the client received?
ANS:
A nurse's responsibility for respectful and clear communication about medical interventions within a diverse patient population (select all that apply)
A. May require more time to be effective B. Is secondary to carrying out physician's orders C. Is ethical, moral, and professional D. May be challenged by his or her own assumptions about what is or isn't appropriate E. Often involves translating "physician speak" into language that patients can understand
A nursing instructor has instructed a student nurse to document objectively. The student nurse demonstrates understanding when documenting
a. "Patient is noncompliant." b. "Patient is drunk, confused, and uncooperative." c. "Patient and family are nasty, abrasive, and difficult." d. "Odor of alcohol on breath; refuses to stay in assigned room."