Ms. J., gravida 2 and 16 GW, comes in for her prenatal ...

[bobypop]

Ms. J., gravida 2 and 16 GW, comes in for her prenatal appointment. Her 2-year-old daughter is with her and is wearing a sleeveless top. While interacting with her daughter, you note axillary freckling and several caf-au-lait spots (>2 cm).
 
  In reviewing her chart, you would assess for documentation of the genetic disease of: 1. Tay-Sachs disease.
  2. galactosemia.
  3. neurofibromatosis.
  4. phenylketonuria.

Question 2

In comparing the abdominal and transvaginal methods of ultrasound examination, nurses should explain to their patients that:
 
  1. both require the woman have a full bladder.
  2. the abdominal is more useful in the first trimester.
  3. initially the transvaginal can be painful.
  4. the transvaginal allows pelvic anatomy to be evaluated in greater detail.

[ladyjames123]

Answer to Question 1

3
1, 2, 4. Incorrect. These disorders are not associated with caf-au-lait spots.
3. Correct. Clinical manifestations of NF may include axillary freckling and caf-au-lait spots.

Answer to Question 2

4
1. Incorrect. The abdominal exam requires a full bladder, the transvaginal, an empty one.
2. Incorrect. The transvaginal is more useful in the first trimester; the abdominal works bet-ter after the first trimester.
3. Incorrect. Neither method should be painful, although in the transvaginal the woman will feel pressure as the probe is moved.
4. Correct. It also allows intrauterine pregnancies to be diagnosed earlier.