The primigravida at 22 weeks' gestation has a fundal height ...

[kshipps]

The primigravida at 22 weeks' gestation has a fundal height palpated slightly below the umbilicus. Which of the following statements would best describe to the client why she needs to be seen by a physician today?
 
  1. Your baby is growing too much and getting too big.
  2. Your uterus might have an abnormal shape.
  3. The position of your baby can't be felt.
  4. Your baby might not be growing enough.

Question 2

A laboring client has received an order for epidural anesthesia. In order to prevent the most common complication associated with this procedure, what would the nurse expect to do?
 
  1. Observe fetal heart rate variability
  2. Hydrate the vascular system with 500-1000 mL of intravenous fluids
  3. Place the client in the semi-Fowler's position
  4. Teach the client appropriate breathing techniques

[voltaire123]

Answer to Question 1

4
Explanation: 4. The fundal height at 20-22 weeks should be about even with the umbilicus. At 22 weeks' gestation, a fundal height below the umbilicus and the size of the uterus that is inconsistent with length of gestation could indicate fetal demise.

Answer to Question 2

2
Explanation: 2. The risk of hypotension can be minimized by hydrating the vascular system with 500 to 1000 mL of IV solution before the procedure and changing the woman's position and/or increasing the IV rate afterward.

[kshipps]

Correct answers!

[voltaire123]

Great! Please up vote