A client, gravida 2, para 1, comes for a prenatal visit at 20 ...

[Collmarie]

A client, gravida 2, para 1, comes for a prenatal visit at 20 weeks of gestation. Her fundus is palpated 3 cm below the umbilicus. This finding is:
 
  a. appropriate for gestational age.
  b. a sign of impending complications.
  c. lower than normal for gestational age.
  d. higher than normal for gestational age.

Question 2

To relieve a leg cramp, what should the client be instructed to perform?
 
  a. Dorsiflex the foot.
  b. Apply a warm pack.
  c. Stretch and point the toe.
  d. Massage the affected muscle.

[jsm54321]

Answer to Question 1

ANS: C
By 20 weeks, the fundus should reach the umbilicus. The fundus should be at the umbilicus at 20 weeks, so 3 cm below the umbilicus is an inappropriate height and needs further assessment. This is lower than expected at this date. It may be a complication, but it may also be because of incorrect dating of the pregnancy.

Answer to Question 2

ANS: A
Dorsiflexion of the foot stretches the leg muscle and relieves the painful muscle contraction. Warm packs can be used to relax the muscle, but more immediate relief is necessary, such as dorsiflexion of the foot. Pointing the toes will contract the muscle and not relieve the pain. Because she is prone to blood clots, massaging the affected leg muscle is contraindicated.

[Collmarie]

Excellent

[mohan]

Thanks for the timely response, appreciate it