Author Question: The nurse is collecting data from a client during the first prenatal visit. The client is anxious to ... (Read 141 times)

jon_i · **on:** Jul 22, 2018

The nurse is collecting data from a client during the first prenatal visit. The client is anxious to know the gender of the fetus and asks the nurse when she will be able to know.

The nurse re-sponds to the client by telling her that the gender of the fetus can be determined by weeks: 1. 6 to 8
2. 8 to 10
3. 13 to 16
4. 20 to 22

Question 2

A nurse is caring for a client postoperatively following creation of a colostomy. Which of the following nursing diagnoses should the nurse include in the plan of care?

1. Sexual dysfunction
2. Disturbed body image
3. Fear
4. Imbalanced nutrition: more than body requirements

smrerig · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3

Rationale: By the end of the twelfth week of gestation, the fetal gender can be determined by the appearance of the external genitalia on ultrasound. Therefore, the other options are incorrect.

Answer to Question 2

2

Rationale: Disturbed body image relates to loss of bowel control, the presence of a stoma, the release of fecal material onto the abdomen, the passage of flatus, odor, and the need for an appliance (external pouch). There are no data in the question to support sexual dysfunction and fear. A risk for imbalanced nutrition: less than body requirements is the more likely nursing diagnosis.