A woman who is 42 weeks pregnant comes to the clinic. Which of ...

[corkyiscool3328]

A woman who is 42 weeks pregnant comes to the clinic. Which of the following would be most important?
 
  A) Determining an accurate gestational age
  B) Asking her about the occurrence of contractions
  C) Checking for spontaneous rupture of membranes
  D) Measuring the height of the fundus

Question 2

What health teaching should the nurse provide to the parents of a child recovering from surgery to repair a cleft palate?
 
  A) The child can expect to have chronic maxillary pain.
  B) The child may have increased episodes of otitis media.
  C) The child will have difficulty sensing the temperature of food.
  D) The child may have a poor appetite from a decreased sense of taste.

[k.lashomb]

Answer to Question 1

A
Feedback:
Incorrect dates account for the majority of prolonged or postterm pregnancies; many women have irregular menses and thus cannot identify the date of their last menstrual period accurately. Therefore, accurate gestational dating via ultrasound is essential. Asking about contractions and checking for ruptured membranes, although important assessments, would be done once the gestational age is confirmed. Measuring the height of the fundus would be unreliable because after 36 weeks, the fundal height drops due to lightening and may no longer correlate with gestational weeks.

Answer to Question 2

B
Feedback:
: Surgery to correct a cleft palate changes the contour of the palate and the slope of the eustachian tube to the middle ear. This can lead to a high incidence of middle ear infection or otitis media because organisms are able to reach this area from the oral cavity more readily than usual. The child is not expected to have chronic maxillary pain, inability to sense the temperature of food, or a poor appetite from a decreased sense of taste.

[corkyiscool3328]

Excellent

[bblaney]

Gracias!