The clinic nurse is assessing a woman in her 30th week of ...

[justinmsk]

The clinic nurse is assessing a woman in her 30th week of pregnancy. Her fundal height is 23 centimeters. What other assessment finding would the nurse correlate with this condition?
 
  A.
  Blood glucose 112 mg/dL
  B.
  Hemoglobin 9.2 g/dL
  C.
  Leukorrhea
  D.
  Platelet count elevated

Question 2

A woman comes to the clinic for her 24-week prenatal visit. This is her second pregnancy. The patient does not wish to know her weight and when her clinic record is reviewed, her total weight gain for this pregnancy is 5 pounds.
 
  She is very concerned about her changing body shape. What disorder does the nurse suspect?
  A.
  Anemia
  B.
  Anorexia nervosa
  C.
  Gestational diabetes
  D.
  Gestational hypertension

[mcarey591]

Answer to Question 1

ANS: B
True anemia, or iron-deficiency anemia, occurs when the hemoglobin level drops below 10 g/dL. The blood's decreased oxygen-carrying capacity causes a reduction in oxygen transport to the developing fetus. Decreased fetal oxygen transport has been associated with intrauterine growth restriction and preterm birth. The patient's lower-than-expected fundal height measurement could also be indicative of intrauterine growth restriction. The blood glucose, although slightly high, is not related, nor is leukorrhea (a common finding in pregnancy) or an elevated platelet count.

Answer to Question 2

ANS: B
Anorexia nervosa is characterized by a distorted body image and an intense fear of becoming obese. Patients with anorexia nervosa lose weight either by excessive dieting or by purging themselves of calories they have ingested. Because this woman has gained very little weight and has concerns about her body shape, the nurse should suspect anorexia and assess the patient further. Anemia, gestational diabetes, and gestational hypertension do not manifest with these symptoms.

[justinmsk]

Excellent

[laurnthompson]

TYSM