Which nursing intervention is necessary prior to a second-trimester transabdominal ultrasound?
a. Perform an abdominal prep.
b. Administer a soap suds enema.
c. Ensure the client is NPO for 12 hours.
d. Instruct the client to drink 1 to 2 quarts of water.
ANS: D
When the uterus is still in the pelvis, visualization may be difficult. It is necessary to perform the test when the woman has a full bladder, which provides a window through which the uterus and its contents can be viewed. An abdominal prep is not necessary for this procedure. A soap suds enema is not necessary for this procedure. The client needs a full bladder to elevate the uterus; therefore, being NPO would not be appropriate.
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