QUESTION: "A client at 36 weeks' gestation is scheduled for a routine ultrasound prior to an amniocentesis. After teaching the client about the purpose of the ultrasound, which of the following client statements would indicate to the nurse that the client needs further instruction?"
CHOICES
( X ) a.) "The ultrasound will help to locate the placenta."
( O ) b.) "The ultrasound identifies blood flow through the umbilical cord."
( X ) c.) "The test will determine where to insert the needle."
( X ) d.) "The ultrasound locates a pool of amniotic fluid."
RATIONALE: Before amniocentesis, a routine ultrasound is valuable in locating the placenta, locating a pool of amniotic fluid, and showing the physician where to insert the needle. Color Doppler imaging ultrasonography identifies blood flow through the umbilical cord. A routine ultrasound does not accomplish this. An ultrasound prior to an amniocentesis helps in locating the placenta. An ultrasound prior to an amniocentesis helps to identify where the physician should insert the needle. An ultrasound prior to an amniocentesis aids in locating a pool of amniotic fluid from which to obtain the sample for the amniocentesis. NURSING PROCESS STEP: Evaluation CLIENT NEEDS CATEGORY: Physiological integrity CLIENT NEEDS SUBCATEGORY: Reduction of risk potential
