MCN Midterm

C.

A pregnant client is making her first antepartum visit. She has a 2-year old son born at 40 weeks, a 5 year old daughter born at 38 weeks, and a 7 year old twin daughters born at 35 weeks. Using the GPTPALM format, what does the nurse document about the client's obstetric history? A. G4 P3 T3 P2 A1 L4 M1 B. G5 P2 T2 P2 A1 L4 M1 C. G5 P2 T2 P1 A1 L4 M1 D. G4 P3 T3 P1 A1 L4 M1

A. & B.

A primiparous client at 10 weeks' gestation questions the nurse about the need for an ultrasound. She states "I don't have health insurance and I can't afford it. I feel fine, so why should I have the test?" The nurse should incorporate which statements as the underlying reason for performing the ultrasound now? SATA A. We must view the gross anatomy of the fetus B. We need to determine gestational age. C. We want to view the heart beating to determine that the fetus is viable. D. We must determine fetal position. E. We must determine that there is a sufficient nutrient supply for the fetus.

B.

Mrs. D states: "I must be about four months pregnant. I cannot remember exactly my LMP, but I have been feeling the baby kicking for 3 or 4 weeks now." Upon auscultation, the nurse hears fetal heart sounds. The nurse explains that this finding indicates: A. You are not quite four months. B. You are on your fifth month. C. You may be six months on family way. D. You are four months pregnant, indeed.

B.

When measuring the fundal height of a primigravida client at 20 weeks' gestation, the nurse will locate the fundal height at which of the following points? A. Halfway between the client's symphysis pubis and umbilicus. B. At about the level of the client's umbilicus. C. Between the client's umbilicus and xiphoid process. D. Near the client's xiphoid process and compressing it.