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°°Test-Taking Strategy: Focus on the data in the question. Noting that the sounds heard through the fetoscope are synchronized with the mother’s radial pulse will help direct you to the correct option. Also note that the incorrect optionsare comparable or alike in that they indicate continuing with the counting of the heart rate. Review the procedure for auscultating the FHR if you had difficulty with this question.°°Reference: Lowdermilk, D., Perry, S., & Cashion, K. (2010). Maternity nursing(8th ed., p. 319). St. Louis: Mosby. °°Level of Cognitive Ability: Applying°°Client Needs: Health Promotion and Maintenance°°Integrated Process: Nursing Process/Assessment°°Content Area: Maternity/Antepartum Awarded 1.0 points out of 1.0 possible points. °74.ID: 283572572A pregnant client is scheduled to undergo a transabdominal ultrasound, and the nurse provides information to the client about the procedure. The
nurse tells the client that: AThe procedure takes about 2 hoursBShe will be positioned on her back for the procedureCA probe coated with gel will be inserted into the vaginaDThat she may need to drink fluids before the test and may not void until the test has been completed Correct°Rationale: For a transabdominal ultrasound, the woman is positioned on her back, with her head elevated, but is turned slightly to one side to prevent supine hypotension. A wedge or rolled blanket is placed under one hip to help her maintain this position comfortably. If a full bladder is necessary, the woman is instructed to drink several glasses of clear fluid 1 hour before the test and told that she should not void until the test has been completed. Warm mineral oil or transmission gel is spread over her abdomen, and the sonographer slowly moves a transducer over the abdomen to obtain a picture. The procedure takes 10 to 30 minutes. For transvaginal ultrasonography, a transvaginal probe is inserted into the vagina.°°Test-Taking Strategy: Use the process of elimination. Note the word “transabdominal” in the question and eliminate the option that contains the words “inserted into the vagina.” Recalling that the pregnant client is at risk for supine hypotension will help you eliminate the option that involves positioning the client on her back. To select from theremaining options, visualize this procedure and eliminate theoption stating that the test will take 2 hours, because this is a lengthy period. Review the procedure for transabdominal ultrasound if you had difficulty with this question.°°Reference: McKinney, E., James, S., Murray, S., & Ashwill, J. (2009). Maternal-child nursing (3rded., pp. 323-324). St. Louis: Elsevier.°°Level of Cognitive Ability: Applying°°Client Needs: Physiological Integrity°
°Integrated Process: Nursing Process/Implementation°°Content Area: Maternity/Antepartum Awarded 1.0 points out of 1.0 possible points.
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Nursing, Elsevier, possible points, content area, cognitive ability, Test-Taking Strategy