The nurse is seeing prenatal clients in the clinic. Which client is exhibiting expected findings?
1. 12 weeks' gestation, with fetal heart tones heard by Doppler fetoscope
2. 22 weeks' gestation, client reports no fetal movement felt yet
3. 16 weeks' gestation, fundus three finger breadths above umbilicus
4. Marked edema
1
Explanation: 1. This is an expected finding because fetal heart tones should be heard by 12 weeks using a Doppler fetoscope.
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The nurse is analyzing a fetal heart rate (FHR) monitor strip. The nurse notes that some early decelerations are present. The nurse explains to the client that early decelerations are most often related to:
1. Umbilical cord compression. 2. Fetal head compression. 3. Uteroplacental insufficiency. 4. Fetal hypoxia.
When the nurse is providing education to the pregnant patient regarding changes in the cervix, vagina, and the position of the fetus, it is important to be aware that:
a. Because of a number of changes in the cervix, abnormal Papanicolaou (Pap) tests are much easier to evaluate. b. Quickening is a technique of palpating the fetus to engage it in passive movement. c. The deepening color of the vaginal mucosa and cervix (Chadwick's sign) usually appears in the second trimester or later as the vagina prepares to stretch during labor. d. Increased vascularity of the vagina increases sensitivity and may lead to a high degree of arousal, especially in the second trimester.
An 8-year-old girl tells the nurse that she has cancer because God is punishing her for "being bad." What should the nurse interpret this as?
a. A common belief at this age b. Indicative of excessive family pressure c. Faith that forms the basis for most religions d. Suggestive of a failure to develop a conscience
A patient has a cerebrovascular accident and is incontinent of bowel and bladder. Incontinence of urine in this patient is related to a
A) Cystocele B) Enuresis C) Overactive bladder D) Neurogenic bladder