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Author Question: The nurse is palpating the uterus of a woman who is 8 weeks' pregnant. Which finding would be ... (Read 35 times)

ishan

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The nurse is palpating the uterus of a woman who is 8 weeks' pregnant. Which finding would be considered to be most consistent with this stage of pregnancy?
 
  a. The uterus seems slightly enlarged and softened.
  b. It reaches the pelvic brim and is approximately the size of a grapefruit.
  c. The uterus rises above the pelvic brim and is approximately the size of a cantaloupe.
  d. It is about the size of an avocado, approximately 8 cm across the fundus.

Question 2

When the nurse is assessing the deep tendon reflexes (DTRs) on a woman who is 32 weeks' pregnant, which of these would be considered a normal finding on a 0 to 4+ scale?
 
  a. Absent DTRs
  b. 2+
  c. 4+
  d. Brisk reflexes and the presence of clonus



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djpooyouma

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Answer to Question 1

ANS: D
The 8-week pregnant uterus is approximately the size of an avocado, 7 to 8 cm across the fundus. The 6-week pregnant uterus is slightly enlarged and softened. The 10-week pregnant uterus is approximately the size of a grapefruit and may reach the pelvic brim. The 12-week pregnant uterus will fill the pelvis. At 12 weeks, the uterus is sized from the abdomen.

Answer to Question 2

ANS: B
Normally during pregnancy, the DTRs are 1+ to 2+ and bilaterally equal. Brisk or greater than 2+ DTRs and the presence of clonus are abnormal and may be associated with an elevated blood pressure and cerebral edema in the preeclamptic woman.




djpooyouma

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