A woman is seven months pregnant, and has come to the obstetrical ...

[imowrer]

A woman is seven months pregnant, and has come to the obstetrical clinic for a routine prenatal examination. During the assessment, the nurse hears a soft blowing sound above the mother's symphysis pubis.
 
  The rate of sound is synchronous with the mother's heartbeat. The nurse identifies this as: 1. A normal sound called funic souffle.
  2. A normal sound called uterine souffle.
  3. An abnormal sound representing an aortic aneurysm.
  4. An abnormal sound representing a false knot in the cord.

Question 2

Which comment by a client who is pregnant indicates a need for further teaching?
 
  a. I have been walking two miles every day for the last 3 years, and I plan to try to increase my walking during pregnancy.
  b. I never liked milk, but I have started adding more cheese and other dairy products to my diet instead.
  c. I used to douche once a week prior to pregnancy, but now I have stopped.
  d. My husband and I used to have wine every night for dinner; we only have it once a week now.

[cclemon1]

Answer to Question 1

2
Rationale:
1. The normal sound called funic souffle is synchronous with the fetal heartbeat and fetal blood flow through the umbilical arteries.
2. The normal sound called uterine souffle is timed precisely with the mother's pulse, and is heard over the mother's pubis during the last months of pregnancy.
3. An abnormal sound representing an aortic aneurysm is an incorrect assessment of this sound.
4. An abnormal sound representing a false knot in the cord is an incorrect assessment of this sound.

Answer to Question 2

D
If a pregnant client states that she only has a drink once a week, further teaching is needed. Pregnant women should abstain for drinking alcohol. Alcohol may have a teratogenic effect on the fetus and contributes to fetal alcohol syndrome. Walking is an excellent activity for pregnancy. Eating more cheese and other dairy products indicates the client understands the importance of calcium in pregnancy. The client is correct in saying she has stopped douching.

[imowrer]

Excellent

[patma1981]

TYSM