A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment.
Which of the following laboratory tests should the nurse plan to conduct?
Group B strep culture.
Rubella titer.
Blood type and Rh.
One-hour glucose tolerance test.
The Correct Answer is D
A nurse caring for a client who is receiving prenatal care and is at her 24-week appointment should plan to conduct a one-hour glucose tolerance test.
This test is done to screen for gestational diabetes that can develop during pregnancy.
Choice A, Group B strep culture, is not an answer because it is a test usually done between 35-37 weeks of pregnancy to check for the presence of Group B streptococcus bacteria.
Choice B, Rubella titer, is not an answer because it is a blood test usually done early in pregnancy to check for immunity to rubella.
Choice C, Blood type and Rh, is not an answer because it is a blood test usually done early in pregnancy to determine the mother’s blood type and Rh factor.
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Correct Answer is D
Explanation
The first action the nurse should take is to apply identification bands to the newborn (choice D).

This is an important step in ensuring the safety and security of the newborn and helps to prevent errors such as misidentification.
Choices A, B, and C are also important actions that should be taken when caring for a newborn following delivery.
However, applying prophylactic eye ointment (choice A), administering vitamin K (choice B), and obtaining the newborn’s weight (choice C) can be done after the identification bands have been applied.
Correct Answer is C
Explanation
A nurse caring for a client who has hyperemesis gravidarum should anticipate urine ketones test.
Hyperemesis gravidarum is severe nausea and vomiting during pregnancy that results in dehydration, weight loss, and ketosis.
Urine ketones test is done to check for ketosis which is a sign of starvation 2.
Choice A, Rapid plasma reagin, is not an answer because it is a blood test used to screen for syphilis.
Choice B, Prothrombin time, is not an answer because it is a blood test used to measure how long it takes for blood to clot.
Choice D, Urine culture, is not an answer because it is a test used to detect and identify bacteria or yeast that may be causing a urinary tract infection.
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