A client asks the nurse about the significance of Alpha-fetoprotein Test (AFP) results.

How should the nurse respond?

AFP results are diagnostic for fetal anomalies.

AFP results require further evaluation for confirmation.

AFP results can only detect neural tube defects.

AFP results are affected by maternal race and ethnicity.

Answer and Explanation

The Correct Answer is B

AFP is a screening tool that can indicate the possibility of certain fetal anomalies, such as neural tube defects, abdominal wall defects, or chromosomal abnormalities.

However, AFP results are not diagnostic and cannot confirm the presence or absence of these conditions.

Therefore, further tests, such as ultrasound or amniocentesis, are needed to verify the results.

Choice A is wrong because AFP results are not diagnostic for fetal anomalies.

They only indicate a risk level that needs to be confirmed by other tests.

Choice C is wrong because AFP results can detect not only neural tube defects, but also other fetal anomalies, such as abdominal wall defects or chromosomal abnormalities.

Choice D is wrong because AFP results are not affected by maternal race and ethnicity.

They are affected by maternal age, weight, diabetes, multiple gestation, and gestational age.

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Correct Answer is B

Explanation

This test can detect genetic disorders.

Chorionic villus sampling (CVS) is a prenatal test that involves taking a sample of tissue from the placenta to test for chromosomal abnormalities and certain other genetic problems.

The placenta is a structure in the uterus that provides blood and nutrients from the mother to the fetus.

Choice A is wrong because CVS does not provide information on neural tube defects, such as spina bifida.

For this reason, women who undergo CVS also need a follow-up blood test between 16 to 18 weeks of their pregnancy to screen for neural tube defects.

Choice C is wrong because CVS can detect chromosomal abnormalities, but not all chromosomal abnormalities are genetic disorders.

For example, Down syndrome is a chromosomal abnormality caused by an extra copy of chromosome 21, but it is not inherited from the parents.

Choice D is wrong because CVS cannot detect Rh sensitization, which is a condition where the mother’s immune system produces antibodies against the fetus’s blood type.

Rh sensitization can be detected by a blood test that measures the level of antibodies in the mother’s blood.

A. Preterm labor. B. Premature rupture of membranes. C. Infection. D. Bleeding.

Correct Answer is A

Explanation

A contraction stress test (CST) is a test that simulates labor contractions to see how the baby’s heart rate responds to the stress of uterine contractions.

The biggest risk of the test is that it may cause the pregnant person to go into labor before their due date.

Some possible explanations for the other choices are:

Choice B. Premature rupture of membranes.

This is a condition where the amniotic sac breaks before labor begins.

It can increase the risk of infection and cord prolapse, but it is not a direct complication of CST.

Choice C. Infection.

This is a possible risk of any invasive procedure, but CST is usually done with external fetal monitoring and oxytocin infusion, which do not require breaking the skin or entering the uterus.

Choice D. Bleeding.

This is a potential risk of CST for people who have placenta previa, a condition where the placenta covers the cervix and can detach during contractions.

However, CST is not recommended for people who have placenta previa or other conditions that increase the risk of uterine rupture or bleeding.

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A client asks the nurse about the significance of Alpha-fetoprotein Test (AFP) results. How should the nurse respond?

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Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client who is scheduled to undergo chorionic villus sampling (CVS). Which statement by the client indicates an understanding of this test?

Correct Answer is B

Explanation

A nurse is discussing the risks associated with a Contraction Stress Test (CST) with a pregnant client. Which complication should the nurse mention?

Correct Answer is A

Explanation

A nurse is observing fetal breathing movements on an ultrasound for a client who is undergoing a biophysical profile (BPP). The nurse should document how many points for this variable if the fetus has at least one episode of breathing lasting for 20 seconds within a 30-minute period?

A nurse is educating a pregnant client about the Alpha-fetoprotein Test (AFP). What should the nurse include as a reason why AFP results are reported as multiples of the median (MoM)?

A nurse is educating a pregnant client about the Contraction Stress Test (CST). Which statement accurately describes a negative CST?

A nurse is explaining the purpose of an Alpha-fetoprotein Test (AFP) to a pregnant client. What is the test primarily used for ?

A nurse is caring for a client who is scheduled for an amniocentesis. Which of the following should the nurse report to the provider?

A nurse is caring for a client who had chorionic villus sampling (CVS) performed at 12 weeks’ gestation and asks when she can expect results from this test. The nurse should inform her that results are typically available within which timeframe?

A nurse is caring for a client who is scheduled for chorionic villus sampling (CVS). Which of the following statements should indicate to the nurse that the client understands the procedure?

A nurse is caring for a patient who had an amniocentesis performed at 16 weeks gestation and reports cramping and vaginal bleeding 24 hours later which action should be taken first?

A client asks the nurse about the significance of Alpha-fetoprotein Test (AFP) results.

How should the nurse respond?