Author Question: A nurse measures a pregnant woman's fundal height and finds it to be 28 cm. The nurse interprets ... (Read 90 times)

neverstopbelieb · **on:** Jun 27, 2018

A nurse measures a pregnant woman's fundal height and finds it to be 28 cm. The nurse interprets this to indicate which of the following?

A) 14 weeks' gestation
B) 20 weeks' gestation
C) 28 weeks' gestation
D) 36 weeks' gestation

Question 2

The nurse is preparing to assess the nutritional status of a patient who is 8 weeks pregnant. What is the most effective way for the nurse to assess the patient's food intake thus far in the pregnancy?

A) Assess skin status for hydration and color.
B) Ask the patient to describe total intake for a week.
C) Assess a list that the patient describes as a good diet.
D) Ask the patient to describe intake for the last 24 hours.

Anna · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C
Feedback:
Typically, the height of the fundus is measured when the uterus arises out of the pelvis to evaluate fetal growth. At 12 weeks' gestation the fundus can be palpated at the symphysis pubis. At 16 weeks' gestation the fundus is midway between the symphysis and the umbilicus. At 20 weeks the fundus can be palpated at the umbilicus and measures approximately 20 cm from the symphysis pubis. By 36 weeks the fundus is just below the xiphoid process and measures approximately 36 cm.

Answer to Question 2

D
Feedback:
The best method for assessing a woman's nutritional intake during pregnancy is to ask the patient to list all the food eaten within the past 24 hours, starting with waking up until going to sleep. This method of history taking yields much more accurate information than asking a patient how often a specific food is eaten. Assessing skin status may provide more information about hydration that nutritional status. Assessing a total intake for a week would be too extreme for the patient to recall. Assessing the patient from a list of foods does not identify what the patient has most recently eaten.