A client’s maternal serum alpha-fetoprotein level is elevated at 17 weeks.
What condition should the nurse identify as the likely cause of this increase?

Multiple gestation.

Fetal hypoxia.

Down syndrome.

Neural tube defect.

Answer and Explanation

The Correct Answer is D

Choice A rationale

While multiple gestation can cause an increase in maternal serum alpha-fetoprotein (MS-AFP) levels, it is not the most likely cause of an elevated MS-AFP level at 17 weeks.

Choice B rationale

Fetal hypoxia, or lack of oxygen to the fetus, is not typically associated with an increase in MSAFP levels.

Choice C rationale

Down syndrome is typically associated with lower, not higher, levels of MS-AFP891011.

Choice D rationale

An elevated level of MS-AFP at 17 weeks is most commonly associated with a neural tube defect. Neural tube defects are birth defects of the brain, spine, or spinal cord that occur during the first month of pregnancy.

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Correct Answer is C

Explanation

Choice A rationale

While using gestures with 1 to 2 word sentences is a developmental milestone, it is typically seen in younger children, around the age of 212.

Choice B rationale

Using 1 word sentences is a developmental milestone usually achieved by children around the age of 112. By the age of 3, children are typically able to speak in simple sentences with four or more words.

Choice C rationale

Speaking in simple sentences with four or more words is a typical developmental milestone for a 3-year-old child. They are able to express their thoughts more clearly and engage in conversations.

Choice D rationale

Recognizing most letters and numbers is a skill that is typically developed around the age of 4 or 512. Therefore, expecting a 3-year-old child to recognize most letters and numbers might be too advanced for their developmental stage.

A. Inspect the infant’s ears daily. B. Position the infant prone after feeding. C. Breastfeed frequently. D. Avoid exposure to smoke. E. Avoid exposure to smoke.

Correct Answer is D

Explanation

Choice A rationale

While inspecting the infant’s ears daily can help detect signs of an ear infection early, it does not prevent recurrent otitis media.

Choice B rationale

Positioning the infant prone after feeding does not prevent recurrent otitis media and can actually increase the risk of sudden infant death syndrome.

Choice C rationale

While breastfeeding frequently can provide numerous health benefits for the infant, it does not specifically prevent recurrent otitis media.

Choice D rationale

Avoiding exposure to smoke can help prevent recurrent otitis media in infants. Smoke can irritate the Eustachian tubes, which can lead to fluid buildup and increase the risk of ear infections.

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A client’s maternal serum alpha-fetoprotein level is elevated at 17 weeks. What condition should the nurse identify as the likely cause of this increase?

Choice A rationale

Choice B rationale

Choice D rationale

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is evaluating the growth and development of a 3-year-old child. Which speech and language skills should the nurse identify as normal developmental milestones for this child?

Correct Answer is C

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

The nurse is educating parents on how to prevent recurrent otitis media in their infant. What advice should the nurse give?

Correct Answer is D

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

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A client’s maternal serum alpha-fetoprotein level is elevated at 17 weeks.
What condition should the nurse identify as the likely cause of this increase?