52. A 34-year-old client, who is gravida 4, para 2, has gestational diabetes that is controlled by diet. At 38 weeks' gestation, a physician orders an ultrasound for estimated fetal weight and amniotic fluid index. To prepare for the ultrasound, a nurse instructs the client to:
Test-Taking Tip
When considering radiological examinations and the proper preparation, think about the purpose of the examination and what structures are being examined. For a fetal ultrasound, good visualization is important; therefore, the bladder must be full.
Content Area: Maternity, Intrapartum; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Diagnostic Tests
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Answer 1 is correct because the bladder should be full to lift the uterus and fetus out of the pelvis in order to obtain good measurements. Answer 2 is incorrect because a pelvic ultrasound does not require the client to be without food for the examination. Answer 3 is incorrect because a pelvic ultrasound does not require the client to have an enema for the examination. Answer 4 is incorrect because limiting ambulation has nothing to do with preparing for a pelvic ultrasound.
