A 38-year-old primigravida returns to the clinic at 16 weeks gestation for an alpha-fetoprotein test.She asks a nurse, "Why do lI need this test?".Which response would be most appropriate for the nurse to make?

"This test will help us determine your baby's maturity.".

"This is a routine test for all pregnant women over thity years of age.".

This test is recommended for people with a history of infertility." "This test is used to identify fetal abnormalities.".

<p>This test is used to identify fetal abnormalities</p>

Answer and Explanation

The Correct Answer is D

The correct answer is choice D: “This test is used to identify fetal abnormalities.” Alpha-fetoprotein (AFP) is a protein produced by the fetus that can be measured in the mother’s blood.

Abnormal levels of AFP may indicate a problem with the development of the baby’s brain, spine, or other organs.

This test is usually done between 15 and 20 weeks of gestation.

Choice A is wrong because AFP does not measure the baby’s maturity.

It is not related to the gestational age or the lung development of the fetus.

Choice B is wrong because AFP is not a routine test for all pregnant women over thirty years of age.

It is an optional screening test that may be offered to women who have a higher risk of having a baby with a birth defect, such as those who have a family history, a previous affected pregnancy, or certain ethnic backgrounds.

Choice C is wrong because AFP is not recommended for people with a history of infertility.

It does not assess the fertility status of the mother or the father.

It only measures the level of a fetal protein in the mother’s blood.

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Correct Answer is C

Explanation

The correct answer is choice C. Auscultate the fetal heart sounds.This is because spontaneous rupture of membranes (SROM) may be associated with fetal distress or cord prolapse, and the nurse should assess the fetal well-being as soon as possible.Fetal heart sounds can indicate the presence of fetal bradycardia, tachycardia, or decelerations, which may require immediate intervention.

Choice A is wrong because checking the specific gravity of the amniotic fluid is not a priority action after SROM.The specific gravity can help differentiate amniotic fluid from urine, but it is not as reliable as other methods such as nitrazine paper test or visual inspection.

Choice B is wrong because providing dry linens for the patient is a comfort measure, but not a priority action after SROM.The nurse should first ensure the safety of the fetus and the mother before attending to their comfort needs.

Choice D is wrong because notifying the health care provider is an important action after SROM, but not the first one.The nurse should gather relevant data such as fetal heart rate, maternal vital signs, and characteristics of the fluid before contacting the provider.

A. "The discharge that you are describing is normal at this time." B. "Have you been running a fever?". C. “It sounds as if you have begun to ovulate again." D. "Are you taking iron supplements?".

Correct Answer is A

Explanation

The correct answer is choice A: “The discharge that you are describing is normal at this time.” This is because the client is experiencing lochia serosa, which is a brownish discharge that occurs from about day 4 to day 10 postpartum.

Lochia serosa is composed of old blood, serum, leukocytes, and tissue debris.

It indicates that the placental site is healing and the uterus is involuting.

Choice B is wrong because fever is a sign of infection, not normal lochia.

Choice C is wrong because ovulation usually does not resume until 6 weeks postpartum for nonbreastfeeding women and later for breastfeeding women.

Choice D is wrong because iron supplements do not affect lochia color or amount.

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A 38-year-old primigravida returns to the clinic at 16 weeks gestation for an alpha-fetoprotein test.She asks a nurse, "Why do lI need this test?".Which response would be most appropriate for the nurse to make?

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Naxlex Comprehensive Predictor Exams

A patient states, “My water just broke.” The nurse verifies that her membranes have ruptured spontaneously. Which action should the nurse take next?

Correct Answer is C

Explanation

A client who is two weeks postpartum calls the office and tells a nurse, "l am having a small amount of brownish discharge from my vagina." Which response is appropriate for the nurse to make?

Correct Answer is A

Explanation

A nurse is caring for a patient who is receiving oxytocin injection intravenously for labor induction.The nurse should monitor this patient for which adverse effect of oxytocin?

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A newborn develops hyperbilirubinemia when 24 hours old and is prescribed phototherapy. Which measure is an important part of this newborn’s care plan?

During a class for women in the second trimester of pregnancy, the nurse discusses methods to alleviate back pain. Which statement by a class member would indicate the need for additional instruction?

A 14-year-old client who is pregnant has a low result from a rubella serology test.Which notation should be made on this client’s care plan?

A nurse is reviewing laboratory results of a pregnant patient.Which result will require further assessment?

A patient who is 38 weeks pregnant is admitted to the hospital in active labor. On admission, the patient says, “For the past ten hours, I have been leaking small amounts of urine.” Which action should the nurse take initially?