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ISPN考试模拟试题(536)

Question:

A 24-year-old nulligravid client with a history of irregular menstrual cycles visits the clinic because she suspects that she is “about 6 weeks pregnant.” An ultrasound is scheduled in 2 weeks. The nurse should instruct the client that this test will be done to: 

1. Assess gestational age. 

2. Determine a multifetal pregnancy. 

3. Identify the gender of the fetus. 

4. Assess of maternal pelvic adequacy.

 

Answer:1

In the first trimester, ultrasound scanning typically is prescribed to determine the gestational age. This is especially important for a client with a history of irregular menstrual cycles to establish an accurate delivery date. There is no reason at this point in pregnancy to determine whether twins are present. This might be indicated if the fundal height were larger than the gestational age may indicate. Identifying the gender of the fetus is not a reason for an ultrasound examination unless there is a history of sex-linked genetic disorders. Pelvic adequacy can be determined by physical examination. If the client has a borderline pelvis, an ultrasound scan cannot confirm this. Pelvimetry can be done, but it is not performed as frequently as it once was. 

CN: Health promotion and maintenance; CL: Apply

翻译

问题:

一位有月经不规律病史的24岁无月经症患者来到诊所,因为她怀疑自己怀孕约6。超声波检查计划在2周后进行。护士应指导病人进行该测试,目的是:

1.评估胎龄。

2.确定多胎妊娠。

3.确定胎儿的性别。

4.评估产妇盆腔充分性。

 

答案:1

在妊娠的头三个月,超声扫描通常用于确定胎龄。这对于有月经周期不规则病史的病人来说尤其重要,以确定准确的分娩日期。没有理由确定双胞胎是否存在。如果宫底高度大于胎龄,则可能表明这一点。除非有与性别有关的遗传疾病史,否则确定胎儿性别不是超声检查的理由。骨盆充分性可通过体检确定。如果病人有交界性骨盆,超声扫描无法确认。骨盆测量是可以进行的,但不像以前那样频繁。

CN:健康促进和维护;CL:应用

小编寄语:Sowing and harvesting are not in the same season, the interval of a period of time, called persistence!播种和收获不在同一个季节,中间隔着的一段时间,叫坚持!

时间:2021/8/11 11:44:53
 
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