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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.

Answer and Explanation

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.

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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 that occurs randomly and 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 cells.

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

A. The client’s bladder is full. B. The client’s uterus is above the symphysis pubis C. The client’s cervix is dilated D. The client’s fundal height measures 20 cm

Correct Answer is C

Explanation

. The client’s cervix is dilated.

This indicates that the client may be in preterm labor, which is a contraindication for amniocentesis.

Amniocentesis is a procedure that involves inserting a needle into the amniotic sac to obtain a sample of amniotic fluid for genetic testing or other purposes.

It is usually performed between 15 and 20 weeks of gestation.

Choice A is wrong because the client’s bladder should be full for amniocentesis.

This helps to push the uterus upward and away from the bladder, reducing the risk of injury and making it easier to visualize the fetus and the needle.

Choice B is wrong because the client’s uterus should be above the symphysis pubis at 16 weeks of gestation.

This is a normal finding and does not affect the procedure.

Choice D is wrong because the client’s fundal height should measure around 16 cm at 16 weeks of gestation.

A fundal height of 20 cm may indicate a large for gestational age fetus, multiple gestation, or polyhydramnios (excess amniotic fluid), but these are not absolute contraindications for amniocentesis.

However, they may require further evaluation and adjustment of the technique.

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A client's Alpha-fetoprotein Test (AFP) result is reported as 0.8 MoM. What does this result suggest?

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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 caring for a client who is scheduled for an amniocentesis at 16 weeks gestation. Which of the following should the nurse report to the provider?

Correct Answer is C

Explanation

A nurse is educating a pregnant client about the Non-Stress Test (NST). Which statement by the client indicates understanding of the test?

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 client is scheduled for an abdominal ultrasound in two weeks. The client asks the nurse what they should do to prepare for the test. What is the best response by the nurse?

A nurse is caring for a client who had an amniocentesis at 16 weeks gestation and reports cramping and vaginal bleeding 24 hours later. Which of the following actions should the nurse take first?

A nurse is explaining the purpose of a Doppler ultrasound blood flow analysis to a client who has intrauterine growth restriction (IUGR). The nurse should inform the client that this test measures which of the following?

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 nurse is teaching about fetal development to a group of clients in the antenatal clinic. Which of the following statements should the nurse include in the teaching?

A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation. The nurse provides which of the following explanations about this test to the client?

A client's Alpha-fetoprotein Test (AFP) result is reported as 0.8 MoM.

What does this result suggest?