Which nursing intervention is necessary prior to a second ...

[corkyiscool3328]

Which nursing intervention is necessary prior to a second trimester transabdominal ul-trasound?
 
  a. Ensure the client is NPO for 12 hours.
  b. Instruct the client to drink 1 to 2 quarts of water.
  c. Administer a soap suds enema.
  d. Perform an abdominal prep.

Question 2

What is/are the priority nursing assessment(s) for the woman having tocolytic therapy with terbutaline?
 
  a. Fetal heart rate, maternal pulse, and blood pressure
  b. Internal temperature and odor of amniotic fluid
  c. Intake and output
  d. Maternal blood glucose

[pangili4]

Answer to Question 1

B
When the uterus is still in the pelvis, visualization may be difficult. It is necessary to perform the test when the woman has a full bladder, which provides a window through which the uterus and its contents can be viewed.
The client needs a full bladder in order to elevate the uterus; therefore, being NPO would not be appropriate.
A soap suds enema is not necessary for this procedure.
An abdominal prep is not necessary for this procedure.

Answer to Question 2

A
All assessments are important, but those most relevant to the medication include the fetal heart rate and maternal pulse, which tend to increase, and the maternal blood pressure, which tends to exhibit a wide pulse pressure.
These are important if the membranes have ruptured, but they are not relevant to the medica-tion.
Options C and D are not important assessments to monitor for side effects of terbutaline.