The patient is being seen for her first prenatal appointment at ...

[mmm]

The patient is being seen for her first prenatal appointment at 14 weeks' gestation. She is sure of her last menstrual period (LMP). The fundal height is measured at 20 centimeters.
 
  Which test would the nurse anticipate that the certified nurse-midwife will order for this patient? 1. Amniocentesis for fetal genetic anomaly
  2. Ultrasound to determine the number of fetuses
  3. Beta hCG to detect the location of the pregnancy
  4. Maternal serum alpha-fetoprotein for Down syndrome

Question 2

The nurse is reviewing assessment data from several different male patients. Which one should receive information about causes of infertility?
 
  1. Circumcised patient
  2. Patient with a history of premature ejaculation
  3. Patient with a history of measles at age 12
  4. Patient employed as an engineer

[Anna]

Answer to Question 1

2
Rationale 1: Genetic anomalies would not create an overly large fundal height.
Rationale 2: A fundal height significantly larger than expected can be an indicator of a multi-fetal pregnancy. Ultrasound in the second trimester will detect the number of fetuses present.
Rationale 3: Two or more beta hCG tests are ordered in the first trimester to rule out ectopic pregnancy.
Rationale 4: Genetic anomalies would not create an overly large fundal height. Neither would Down syndrome.

Answer to Question 2

2
Rationale 1: Circumcision does not affect fertility.
Rationale 2: Premature ejaculation is a possible cause of infertility.
Rationale 3: Having the measles does not affect fertility.
Rationale 4: Being an engineer does not affect fertility.

[mmm]

Thank you

[Anna]

Happy to help you