A nurse is caring for a client who is at 37 weeks of gestation and reports a slow trickle of vaginal fluid for the past 12 hr. Which of the following diagnostic tests should the nurse anticipate?
Speculum exam to test for fetal fibronectin
Amniocentesis to determine fetal lung maturity
Urinalysis to determine protein content
Vaginal swab for nitrazine testing
The Correct Answer is D
A. Fetal fibronectin testing is used to assess risk for preterm labor, not to confirm rupture of membranes.
B. Amniocentesis for fetal lung maturity is generally not needed at 37 weeks or later.
C. Urinalysis is for urinary tract issues, not for detecting amniotic fluid.
D. Nitrazine testing helps determine if vaginal fluid is amniotic fluid by assessing pH, aiding in diagnosing rupture of membranes.
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Related Questions
Correct Answer is A
Explanation
A. Spending individual time with the preschooler helps reduce feelings of jealousy and promotes security during the transition.
B. Moving the child too close to the arrival of the new baby can increase stress; it’s better to make such changes well in advance.
C. The preschooler might feel excluded or jealous if they see the parent holding the baby first; it is better to prepare them beforehand.
D. Including the preschooler in prenatal visits can help them feel involved and less anxious about the new sibling.
Correct Answer is ["B","C","D"]
Explanation
B. Hand-to-mouth movements are an early hunger cue as the newborn tries to self-soothe or indicate readiness to feed.
C. Rooting reflex is a classic early sign where the newborn turns their head toward the stimulus (like a nipple) indicating hunger.
D. Sucking motions suggest the newborn is preparing or ready to feed.
A. Consistent crying is a late hunger cue and can indicate distress if earlier cues are missed.
E. The Babinski reflex is a neurological reflex unrelated to hunger cues.
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