The nurse sees a woman for the first time when she is 30 weeks pregnant. The woman has smoked throughout the pregnancy, and fundal height measurements now are suggestive of growth restriction in the fetus
In addition to ultrasound to measure fetal size, what other tool would be useful in confirming the diagnosis?
a. Doppler blood flow analysis c. Amniocentesis
b. Contraction stress test (CST) d. Daily fetal movement counts
ANS: A
Doppler blood flow analysis allows the examiner to study the blood flow noninvasively in the fetus and the placenta. It is a helpful tool in the management of high risk pregnancies because of intrauterine growth restriction (IUGR), diabetes mellitus, multiple fetuses, or preterm labor. Because of the potential risk of inducing labor and causing fetal distress, CST is not performed on a woman whose fetus is preterm. Indications for amniocentesis include diagnosis of genetic disorders or congenital anomalies, assessment of pulmonary maturity, and diagnosis of fetal hemolytic disease, not IUGR. Fetal kick count monitoring is performed to monitor the fetus in pregnancies complicated by conditions that may affect fetal oxygenation. Although this may be a useful tool at some point later in this woman's pregnancy, it is not used to diagnose IUGR.
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The nurse is planning the care of a patient who has been recently diagnosed with a cerebellar tumor. Due to the location of this patient's tumor, the nurse should implement measures to prevent what complication?
A) Falls B) Audio hallucinations C) Respiratory depression D) Labile BP
A client from a different culture reports eating fast food every day for lunch but enjoys traditional foods which the spouse prepares for dinner at home. Which term should the nurse use when documenting this client's eating preferences?
a. Integration b. Food desert c. Assimilation d. Acculturation
During their school-age years, children understand concepts best if they can see the concept illustrated. This type of thinking is termed
A) concrete thought. B) black-and-white reasoning. C) school-aged rhetoric. D) formal thought.
The nurse is caring for a pregnant client who has scoliosis that has affected sensation below the level of the umbilicus. What should the nurse instruct the client to do, to reduce the risk of adverse effects during pregnancy? Select all that apply
1. Walk slowly and deliberately. 2. Limit the amount of daily exercise. 3. Eat fewer calories to restrict weight gain. 4. Ingest adequate amounts of fruits, vegetables, and water. 5. Review signs of pending labor other than uterine contractions.