The patient is being seen for her first prenatal appointment at 14 weeks' gestation. She is sure of her last menstrual period (LMP). The fundal height is measured at 20 centimeters
Which test would the nurse anticipate that the certified nurse-midwife will order for this patient? 1. Amniocentesis for fetal genetic anomaly
2. Ultrasound to determine the number of fetuses
3. Beta hCG to detect the location of the pregnancy
4. Maternal serum alpha-fetoprotein for Down syndrome
2
Rationale 1: Genetic anomalies would not create an overly large fundal height.
Rationale 2: A fundal height significantly larger than expected can be an indicator of a multi-fetal pregnancy. Ultrasound in the second trimester will detect the number of fetuses present.
Rationale 3: Two or more beta hCG tests are ordered in the first trimester to rule out ectopic pregnancy.
Rationale 4: Genetic anomalies would not create an overly large fundal height. Neither would Down syndrome.
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What should the nurse suspect when hourly assessment of urine output on a postcraniotomy patient exhibits a urine output from a catheter of 1500 mL for 2 consecutive hours?
A) Cushing's syndrome. B) Syndrome of inappropriate antidiuretic hormone C) Adrenal crisis. D) Diabetes insipidus.
A client was upset because he received the kidney of a young victim of an accident because it was "so unfair" for the young person to die
Which of the following would demonstrate that the client has resolved the moral dilemma he was facing? 1. The client is observed watching television and reading the paper. 2. The client is seen talking with the parents of the young victim and thanking them for their son's gift of life. 3. The client asked the physician how many years the new kidney added to his life. 4. The client is overhead phoning a travel agent and making plans for a trip in two months.
A nurse wants to represent nursing in legislative activities. Which national nursing organization would be most important to join?
a. International Con-gress of Nursing c. American Academy of Nursing b. American Red Cross d. American Nurses Association
The nurse is preparing to assess a wound on a new admission on a medical–surgical unit. Which items should the nurse review in the medical record prior to assessing the client's wound?
1. The cause of the wound 2. The length of time the wound has been present 3. The previous treatments and client responses 4. The equipment used by other nurses 5. The current medication list