A client's Alpha-fetoprotein Test (AFP) result is reported as 0.8 MoM.
What does this result suggest?
Normal level of AFP for the given gestational age.
High level of AFP indicating a neural tube defect.
Low level of AFP indicating a potential chromosomal abnormality.
Inconclusive result, requiring further evaluation.
The Correct Answer is A
This result suggests that the baby has a low risk of having a genetic disorder or a neural tube defect.
Choice B is wrong because a high level of AFP indicating a neural tube defect would be greater than 2 MoM.
Choice C is wrong because a low level of AFP indicating a potential chromosomal abnormality would be less than 0.5 MoM.
Choice D is wrong because an inconclusive result, requiring further evaluation, would depend on other factors such as ultrasound findings and maternal age.
MoM stands for multiples of the median, which is a way of comparing the AFP level of a pregnant person to the average level for their gestational age.
Values between 0.5 and 2.49 MoM are considered normal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
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.
Correct Answer is C
Explanation
According to the ACOG guidelines on antepartum fetal surveillance, one of the components of the biophysical profile is fetal breathing movements, which are scored as 2 points if there is one or more episodes of rhythmic fetal breathing movements of 30 seconds or more within 30 minutes.
Choice A is wrong because 0 points are given for absent or no breathing episode for ≥30 seconds within a 30 minute observation period.
Choice B is wrong because there is no 1 point score for this variable.
Choice D is wrong because there is no 3 point score for this variable.
The maximum score for each variable is 2 points.
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