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 A
Explanation
“The patient should have a full bladder for a transabdominal US and an empty bladder for a transvaginal US.”1 This is because a full bladder helps to lift the uterus and improve the visibility of the pelvic organs in a transabdominal US, while an empty bladder prevents distortion of the image in a transvaginal US.
Choice B is wrong because tight-fitting clothing is not necessary and lying prone on an examination table is uncomfortable and may interfere with the insertion of the vaginal probe.
Choice C is wrong because loose-fitting clothing is not necessary and lying supine on an examination table may cause supine hypotension syndrome in pregnant women.
Choice D is wrong because loose-fitting clothing is not necessary and lying prone on an examination table is uncomfortable and may interfere with the insertion of the vaginal probe.
Correct Answer is C
Explanation
This means that the baby’s heart rate did not slow down after the contractions induced by oxytocin, which is a sign of normal fetal well-being.
A negative CST is normal and desirable.
Choice A is wrong because no contractions were induced during the test.
This means that the test was inconclusive and could not assess the baby’s response to stress.
Choice B is wrong because late decelerations of the FHR were observed with at least 50% of contractions.
This means that the baby’s heart rate slowed down and stayed slow after the contractions, which is a sign of fetal distress and hypoxia.
A positive CST is abnormal and concerning.
Choice D is wrong because the client experienced mild uterine cramping during the test.
This is not a relevant factor for interpreting the CST results, which depend on the FHR patterns.
Uterine cramping can be a side effect of oxytocin administration or nipple stimulation.
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