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A nurse is caring for a client in the obstetric clinic who is 22 weeks of gestation, calculated by her last menstrual period.The fundal height measurement is 19 centimeters.This measurement could indicate which of the following? (Select all that apply).

A.

Intrauterine growth restriction.

B.

Consistent for estimated gestational age by LMP.

C.

Fetal anomaly.

D.

Polyhydramnios.

E.

Miscalculation of due date.

Question Solution

Correct Answer : A,C,E

Choice A rationale

 

Intrauterine growth restriction (IUGR) can result in a smaller fundal height measurement than expected for gestational age. This condition indicates that the fetus is not growing at the normal rate inside the womb.

 

Choice B rationale

 

A fundal height measurement of 19 centimeters at 22 weeks of gestation is not consistent with the estimated gestational age by LMP. Typically, the fundal height in centimeters should be approximately equal to the number of weeks of gestation.

 

Choice C rationale

 

Fetal anomalies can affect the size and growth of the fetus, leading to discrepancies in fundal height measurements. This could result in a smaller or larger than expected measurement.

 

Choice D rationale

 

Polyhydramnios, or excessive amniotic fluid, would typically result in a larger fundal height measurement than expected for gestational age. Therefore, this choice is incorrect.

 

Choice E rationale

 

Miscalculation of the due date can lead to discrepancies in fundal height measurements. If the gestational age is miscalculated, the fundal height may not match the expected measurement for the given weeks of gestation.


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View Related questions

Correct Answer is C

Explanation

Choice A rationale

Heartburn and nausea are common symptoms during pregnancy and are not typically considered warning signs that require immediate medical attention.

Choice B rationale

Amenorrhea, or the absence of menstruation, is a normal sign of pregnancy and does not indicate a complication that needs immediate reporting.

Choice C rationale

Abdominal cramping can be a sign of a serious condition such as ectopic pregnancy or miscarriage, and it is important for the client to report this symptom immediately.

Choice D rationale

Urinary frequency is a common symptom during pregnancy due to hormonal changes and the growing uterus pressing on the bladder. It is not typically a warning sign that requires immediate medical attention.

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.

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