Author Question: A pregnant client's mother is worried that her daughter is not big enough at 20 weeks of gestation. ... (Read 59 times)

jman1234 · **on:** Jun 27, 2018

A pregnant client's mother is worried that her daughter is not big enough at 20 weeks of gestation. The nurse palpates and measures the fundal height at 20 cm, which is even with the woman's umbilicus.

What should the nurse report to the client and her mother? a. The body of the uterus is at the belly button level, just where it should be at this time.
b. You're right. We'll inform the practitioner immediately.
c. When you come for next month's appointment, we'll check you again to make sure that the baby is growing.
d. Lightening has occurred, so the fundal height is lower than expected.

Question 2

An expectant couple asks the nurse about intercourse during pregnant and if it is safe for the baby. The nurse should tell the couple:

a. Intercourse should be avoided if any spotting from the vagina occurs afterward.
b. Intercourse is safe until the third trimester.
c. Safer sex practices should be used once the membranes rupture.
d. Intercourse and orgasm are often contraindicated if a history of or signs of preterm labor are present.

morrie123456 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
At 20 weeks the fundus is usually located at the umbilical level. Because the uterus grows in a predictable pattern, obstetric nurses should know that the uterus of 20 weeks' gestation is located at the level of the umbilicus.
This is incorrect information. At 20 weeks the uterus should be at the umbilical level.
By avoiding the question, this might increase the anxiety of both the mother and grandmoth-er by avoiding the direct question.
The descent of the fetal head (lightening) occurs in late pregnancy.

Answer to Question 2

D
Some spotting can normally occur as a result of the increased fragility and vascularity of the cervix and vagina during pregnancy. Intercourse can continue as long as the pregnancy is progressing normally. Safer sex practices are always recommended. Rupture of the membranes may require abstaining from intercourse. Uterine contractions that accompany orgasm can stimulate labor and would be problematic if the woman is at risk for or has a history of preterm labor.