Transvaginal ultrasonography is often performed during the first ...

[Wadzanai]

Transvaginal ultrasonography is often performed during the first trimester. While preparing your 6-week-gestation patient for this procedure, she expresses concerns over the necessity for this test.
 
  The nurse should explain that this diagnostic test may be necessary to determine which of the following? Select all that apply. a. Multifetal gestation
  b. Bicornate uterus
  c. Presence and location of pregnancy (intrauterine or elsewhere)
  d. Amniotic fluid volume
  e. Presence of ovarian cysts

Question 2

The nurse observes an infant for signs of increased intracranial pressure, which include
 
  a. a catlike cry, depressed anterior fontanel, lethargy
  b. a nonpalpable posterior fontanel, overriding suture lines, poor feeding
  c. a decreased level of consciousness, hypo-thermia, tachycardia
  d. an increasing head circumference, widening sutures, irritability

[sailorcrescent]

Answer to Question 1

A, B, C, E
Feedback
Correct All of these conditions can be determined by transvaginal ultrasound in the
first trimester of pregnancy. This procedure is also used for estimating
gestational age, confirming fetal viability, identifying fetal abnormalities
or chromosomal defects, and identifying the maternal abnormalities
mentioned, as well as fibroids.
Incorrect Amniotic fluid volume is assessed during the second and third trimester.
Conventional ultrasound would be used.

Answer to Question 2

D
An increasing head circumference, widening sutures, and irritability are manifestations of increased intracranial pressure. Other manifestations of increased intracranial pressure include lethargy, poor feeding, poor sucking, spasms of the head and feet, setting sun sign, decreased level of consciousness, high-pitched shrill cry, and bulging anterior fontanel.