A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?
"Your provider will schedule a chorionic villus sampling to determine the sex of your baby."
"This procedure determines if your baby has genetic or congenital disorders."
"We can schedule the procedure for later today if you'd like."
"You cannot have an amniocentesis until you are at least 35 years of age."
The Correct Answer is B
Rationale:
A. "Your provider will schedule a chorionic villus sampling to determine the sex of your baby." Chorionic villus sampling (CVS) is a different prenatal test that involves taking a sample of chorionic villi for genetic testing, not determining the sex of the fetus.
B. "This procedure determines if your baby has genetic or congenital disorders."
Correct answer.
Amniocentesis is a prenatal test used to diagnose genetic disorders or chromosomal abnormalities, not to determine the sex of the fetus.
C. "We can schedule the procedure for later today if you'd like." Amniocentesis is not typically scheduled on the same day as requested. It requires prior preparation and scheduling.
D. "You cannot have an amniocentesis until you are at least 35 years of age." There's no age restriction for amniocentesis based solely on maternal age. It's typically recommended for women at higher risk for genetic conditions, regardless of age.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Dinoprostone vaginal inserts (e.g., Cervidil) should be kept frozen until use and do not require thawing or warming before insertion. Allowing the medication to reach room temperature is unnecessary and could compromise its stability and effectiveness.
B. Verifying that informed consent is obtained is essential before administering dinoprostone. The client must understand the purpose, potential risks, and alternatives to labor induction, ensuring ethical and legal standards are met.
C. Semi-Fowler’s positioning may be used during labor but is not a priority immediately after insertion. Positioning is secondary to consent and safety considerations.
D. Instructing the client to avoid urinary elimination is not required for dinoprostone administration and does not impact the safety or effectiveness of labor induction.
Correct Answer is D
Explanation
A: Administering an IV bolus of lactated Ringer's is typically used to correct electrolyte imbalances or as a volume expander in the case of blood loss. In peripartum cardiomyopathy, fluid overload should be avoided as it can exacerbate heart failure symptoms.
B: Misoprostol is used to prevent or treat postpartum hemorrhage, but it is not directly related to the management of peripartum cardiomyopathy.
C. Assess blood pressure twice daily:
While monitoring blood pressure is important for overall cardiovascular management, assessing it only twice daily is insufficient for a client with peripartum cardiomyopathy. This condition requires frequent and comprehensive monitoring of vital signs, fluid balance, and cardiac function to prevent complications.
D. Restrict daily oral fluid intake:
Restricting fluid intake is a key intervention in managing peripartum cardiomyopathy because it helps to prevent fluid overload, which could exacerbate heart failure. Clients with this condition often experience reduced cardiac output, and limiting fluids can reduce the strain on the heart and improve overall management of symptoms
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.