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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 C

Explanation

The patient should wear loose-fitting clothing and lie supine on an examination table.

This is because loose-fitting clothing allows easy access to the abdomen and lying supine helps relax the abdominal muscles.

The patient should also avoid food and drinks for 8 to 12 hours before the test, as undigested food can interfere with the sound waves and affect the image quality.

Choice A is wrong because a full bladder is not necessary for an abdominal ultrasound, unless the patient is pregnant or has a pelvic condition.

A transvaginal ultrasound is a different type of ultrasound that uses a probe inserted into the vagina to examine the reproductive organs.

Choice B is wrong because tight-fitting clothing can restrict the movement of the ultrasound probe and make it harder to get a clear image.

Lying prone (on the stomach) can also tense up the abdominal muscles and obscure the organs.

Choice D is wrong because lying prone can have the same disadvantages as choice B. Additionally, wearing loose-fitting clothing does not mean that the patient can eat or drink anything before the test, as this can affect the results.

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 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?

Correct Answer is C

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 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 client is scheduled for an abdominal ultrasound in two weeks to assess fetal growth and development during pregnancy. Which of these statements made by the client indicates that further teaching is needed?

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 nurse is interpreting the results of a biophysical profile (BPP) for a client who is at 34 weeks of gestation. The nurse should understand that each of the five variables is assigned a score of how many points?

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 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 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 nurse is caring for a client who has oligohydramnios and is undergoing a biophysical profile (BPP). The nurse should expect to see which of the following findings on the ultrasound?

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

What does this result suggest?