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NEW QUESTION 49
A 20-year-old client presents to the obstetrics-gynecology clinic for the first time. She tells the nurse that she is pregnant and wants to start prenatal care. After collecting some initial assessment data, the nurse measures her fundal height to be at the level of the umbilicus. The nurse estimates the fetal gestational age to be approximately:

  • A. 30 weeks
  • B. 10 weeks
  • C. 16 weeks
  • D. 20 weeks

Answer: D

Explanation:
Explanation
(A) At 10 weeks, the fundus is located slightly above the symphysis pubis. (B) At 16 weeks, the fundus is halfway between the symphysis pubis and the umbilicus. (C) At 20 weeks, the fundus is located approximately at the umbilicus. (D) At 30 weeks, the fundal height is about 30 cm, or 10 cm above the umbilicus.

 

NEW QUESTION 50
One of the most dramatic and serious complications associated with bacterial meningitis is Waterhouse- Friderichsen syndrome, which is:

  • A. Syndrome of inappropriate antiduretic hormone
  • B. Peripheral circulatory collapse
  • C. Cerebral edema resulting in hydrocephalus
  • D. Auditory nerve damage resulting in permanent hearing loss

Answer: B

Explanation:
(A)
Waterhouse-Friderichsen syndrome is peripheral circulatory collapse, which may result in extensive and diffuse intravascular coagulation and thrombocytopenia resulting in death.
(B)
Syndrome of inappropriate antidiuretic hormone is a complication of meningitis, but it is not Waterhouse-Friderichsen syndrome. (C) Cerebral edema resulting in hydrocephalus is a complication of meningitis, but it is not Waterhouse-Friderichsen syndrome. (D) Auditory nerve damage resulting in permanent hearing loss is a complication of meningitis, but it is not Waterhouse- Friderichsen syndrome.

 

NEW QUESTION 51
When assessing a female child for Turner's syndrome, the nurse observes for which of the following symptoms?

  • A. Amenorrhea
  • B. Secondary sex characteristics
  • C. Gynecomastia
  • D. Tall stature

Answer: A

Explanation:
(A) This syndrome is caused by absence of one of the X chromosomes. These children are short in stature. (B) Amenorrhea is a symptom of Turner's syndrome, which appears at puberty. (C) Sexual infantilism is characteristic of this syndrome. (D) Gynecomastia is a symptom in Klinefelter's syndrome.

 

NEW QUESTION 52
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