A nurse is assessing a woman who is at 29 weeks of gestation. The ...

[tatyanajohnson]

A nurse is assessing a woman who is at 29 weeks of gestation. The nurse measures the woman's fundal height, which is 58.42 cm (23 inches). What does the nurse conclude about this information?
 
  A.
  The nurse cannot make a conclusion.
  B.
  Fundal height is just right.
  C.
  Fundal height is too big.
  D.
  Fundal height is too small.

Question 2

A patient in the emergency department is complaining of fever, burning with urination, bloody urine, and amenorrhea for 1 month. To evaluate her symptoms, what action by the nurse is best?
 
  A.
  Ask the woman if her menstrual periods are usually regular.
  B.
  Collect a urine sample for a pregnancy test.
  C.
  Instruct her in obtaining a midstream urine sample.
  D.
  Obtain an order for an intravenous pyelogram (x-ray of the urinary tract).

[mistyjohnson]

Answer to Question 1

ANS: D
Measuring fundal height is usually initiated around 22 weeks of gestation. The measurement is recorded in centimeters and should closely approximate the weeks of gestation. A woman who is 29 weeks pregnant should have a fundal height of 29 cm (11.4 inches). This woman's fundal height is too small for her gestation.

Answer to Question 2

ANS: C
This woman has symptoms of a urinary tract infection (UTI) and may be pregnant. A urine sample will help with evaluation of all of her symptoms, but blood in the urine can produce a false-positive pregnancy test. To assist the woman in providing a suitable urine specimen for laboratory testing, the nurse teaches her how to obtain a midstream urine sample. Obtaining an order for an intravenous pyelogram is not indicated at this time.

[tatyanajohnson]

Correct answers!

[mistyjohnson]

Great! Please up vote