Answer:
The CPT code for second trimester obstetrical ultrasound with a fetal anatomical evaluation to obtain fetal heartbeat and fetus’s position is CPT code 76811.
Explanation:
According to the Society for Maternal-Fetal Medicine, the CPT code 76811 ultrasound is a pregnant uterus real-time ultrasound complete with image documentation performed to diagnose fetal anomalies. It is done during the second trimester of pregnancy with various indications like twin, triplet, or quadruplet pregnancy; suspected fetal any genetic or anatomic anomalies; maternal gestational diabetes, obesity etc. Fetal anatomical structures like abdomen, chest (heart), extremities, head, face and neck, spine, and position of the fetus are examined under this ultrasound. This ultrasound provides fetal 4-chamber heart view with heart activities to identify any fetal or congenital heart defects
The anterior fontanel is a diamond-shaped area where the frontal and parietal bones meet. It closes between 12 and 18 months of age. Vigorous crying may cause the fontanel to bulge, which is a normal finding. A nurse is performing an assessment on a postterm infant.
<h3>What is anterior fontanel?</h3>
- This is the junction where the 2 frontal and 2 parietal bones meet. The anterior fontanelle stays soft until about 18 months to 2 years of age. Doctors can consider if there is increased intracranial pressure by touching the anterior fontanelle.
- The fontanel can broaden in the first few months of life,18 and the median age of closure is 13.8 months. By three months of age, the anterior fontanel is secured in 1 percent of infants; by 12 months, it is closed in 38 percent; and by 24 months, it is closed in 96 percent.
- The fontanelle allows the skull to distort during birth to facilitate its passage through the birth canal and for expansion of the brain after birth. Skull at birth, showing frontal and occipital fonticuli. The anterior fontanelle normally closes between the periods of 12 and 18 months.
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When caring for a client who's being treated for hyperthyroidism, the nurse should balance the client's periods of activity and rest.
- Encouragement is needed to balance periods of exercise and rest for a client with hyperthyroidism.
- Many patients with hyperthyroidism report feeling overheated and being hyperactive.
- As a result, it's crucial to maintain a cool environment and teach the client how to control his physical reactions to heat.
- Instead of hyperthyroidism, clients with hypothyroidism complain of being cold and require warm clothing and blankets to stay at a suitable temperature.
- Additionally, they get thyroid replacement medicine, frequently experience fatigue and sluggishness, and have a propensity for constipation. To avoid constipation, the nurse should motivate clients with hypothyroidism to be more active.
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