When assessing a woman at follow-up prenatal visits, the nurse ...

[asd123]

When assessing a woman at follow-up prenatal visits, the nurse would anticipate which of the following to be performed?
 
  A) Hemoglobin and hematocrit
  B) Urine for culture
  C) Fetal ultrasound
  D) Fundal height measurement

Question 2

A mother brings her 18-month-old son to the pediatrician for a routine well-child visit. She is concerned about her child's speech. He has been babbling and cooing since 6 months of age but is not yet saying any words. Which response by the nurse is the most appropriate?
 
  a. Don't worry, he should catch up soon. Boys are always slower at speaking than
  girls.
  b. The doctor will want to refer your son to an audiologist and speech pathologist.
  c. This is normal speech development for an 18-month-old child.
  d. Your son has an expressive language disorder and will need a referral for further
  evaluation.

[samiel-sayed]

Answer to Question 1

D
Feedback:
On every follow-up visit, fundal height measurements are performed to evaluate fetal growth and gestation. Hemoglobin and hematocrit, as part of a complete blood count, would be done on the initial visit and then repeated if the woman's status indicates a need for doing so. Urine is checked for protein, glucose, ketones, and nitrites. A culture would be done if there are signs and symptoms of an infection. Fetal ultrasound can be done at any time during the prenatal period, but it is not done at every visit.

Answer to Question 2

Answer is B

A This is offering the parent inappropriate reassurance that her son will be fine. He
needs to be referred for further evaluation.
B This is an appropriate response. By 18 months children should have a three-word
vocabulary. Adequate hearing is essential for the development of speech.
Hearing and language should be tested, and a referral to an audiologist and
speech pathologist is indicated.
C This is not normal speech development for an 18-month-old child.
D The nurse is not qualified to offer a diagnosis to the mother of this patient on the
basis of the limited information provided. Further testing and a referral are
indicated for this patient.

[asd123]

Excellent

[Jossy]

TYSM