The nurse is preparing a client in her second trimester for a three-dimensional ultrasound examination. Which statement indicates that teaching has been effective?

1. "If the ultrasound is normal, it means my baby has no abnormalities."
2. "The nuchal translucency measurement will diagnose Down syndrome."
3. "I might be able to see who the baby looks like with the ultrasound."
4. "Measuring the length of my cervix will determine whether I will deliver early."


3
Explanation: 3. Three-dimensional ultrasound uses algorithms to vary opacity, transparency, and depth to project an image. This allows curved structures such as the fetal face to be viewed.

Nursing

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A child is brought to the clinic with a rash. The child is diagnosed with measles. The mother tells the nurse that she had the measles when she was a little girl. What immunity to measles develops after the initial infection?

A) Naturally acquired active immunity B) Artificially acquired active immunity C) Naturally acquired passive immunity D) Artificially acquired passive immunity

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In understanding and guiding the woman through her acceptance of pregnancy, a maternity nurse should be aware that:

1. nonacceptance of the pregnancy very often equates to rejection of the child. 2. mood swings most likely are the result of worries about finances and changed lifestyle as well as of profound hormonal changes. 3. ambivalent feelings during pregnancy are usually found only in emotionally im-mature or very young mothers. 4. conflicts such as not wanting pregnancy or childrearing and career-related deci-sions need not be addressed during pregnancy because they will resolve them-selves naturally after birth.

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A child diagnosed with cancer is prescribed chemotherapy. Recent laboratory data show a low white blood cell (WBC) count. Which prescription should the nurse anticipate based on the current data?

1. Epoetin alfa (Epogen) 2. Ondansetron (Zofran) 3. Oprelvekin (Neumega) 4. Filgrastim (Neupogen)

Nursing

Which is the priority nursing intervention when caring for a neonate who is born with bladder exstrophy?

1. Measuring intake and output 2. Inserting a Foley catheter 3. Covering the defect with sterile plastic wrap 4. Palpating the bladder mass to ensure urine is expelled

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