A client at 34 weeks gestation is undergoing an ultrasound.The report shows the amniotic fluid volume is estimated at 1900 mL. Which deduction does the nurse make from this finding?
Oligohydramnios is present.
Polyhydramnios is present.
Follow-up glucose test is warranted.
Fluid is normal for gestational age.
The Correct Answer is B
Choice A rationale
Oligohydramnios refers to a condition where there is too little amniotic fluid. An amniotic fluid volume of 1900 mL is above the normal range, indicating that oligohydramnios is not present.
Choice B rationale
Polyhydramnios is the condition of having too much amniotic fluid. The normal range for amniotic fluid volume at 34 weeks gestation is between 800 and 1000 mL. An estimated volume of 1900 mL indicates polyhydramnios, which can be associated with various maternal and fetal conditions.
Choice C rationale
A follow-up glucose test is not directly indicated by the finding of polyhydramnios. While polyhydramnios can be associated with gestational diabetes, the decision to perform a glucose test would depend on other clinical factors and the patient’s history.
Choice D rationale
An amniotic fluid volume of 1900 mL is above the normal range for 34 weeks gestation, so it is not considered normal for gestational age. This finding indicates polyhydramnios rather than a normal fluid level.
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Correct Answer is C
Explanation
Choice A rationale
Intimate partner violence (IPV) does not necessarily decrease during pregnancy. In fact, pregnancy can sometimes increase the risk of IPV due to various stressors and changes in the relationship dynamics.
Choice B rationale
IPV consists of more than just physical abuse. It can also include emotional, psychological, and sexual abuse. Emotional abuse can involve manipulation, threats, and controlling behavior, while sexual abuse includes any non-consensual sexual activity.
Choice C rationale
IPV can indeed include emotional, physical, and sexual abuse. This comprehensive understanding is crucial for recognizing and addressing all forms of IPV, as each type can have severe and lasting impacts on the victim’s health and well-being.
Choice D rationale
IPV is not rare; it is a common issue affecting millions of people worldwide. It can occur in any demographic and socioeconomic group, making it a significant public health concern.
Correct Answer is D
Explanation
Choice A rationale
Having a child with blue eyes is not an indication for genetic testing. Eye color is a polygenic trait and does not typically warrant genetic testing.
Choice B rationale
Reactive airway disease in preterm children is not a direct indication for genetic testing. This condition is more related to the complications of prematurity rather than genetic factors.
Choice C rationale
Neonatal jaundice is common and usually resolves without long-term issues. It is not typically an indication for genetic testing unless there is a suspicion of an underlying genetic disorder.
Choice D rationale
Tay-Sachs Disease is a genetic disorder, and having a child with this condition is a strong indication for genetic testing. This would help determine the risk of recurrence in future pregnancies and provide valuable information for family planning. .