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
1hr glucose tolerance test
The Correct Answer is D
All of the listed laboratory tests are important for prenatal care. However, at the 24-week appointment, the nurse should plan to conduct the 1-hour glucose tolerance test to screen for gestational diabetes.
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Related Questions
Correct Answer is A
Explanation
A newborn's urine output is a good indicator of hydration status, and it is important to ensure that the newborn is receiving adequate fluid intake. A newborn typically urinates at least 6-8 times a day, so if the newborn urinates less than six times a day, it could indicate dehydration or another issue that requires medical attention.
The nurse should not instruct the client to place triple antibiotic ointment on the baby's umbilical cord, as this can actually delay the healing process and increase the risk of infection. Instead, the nurse should advise the client to keep the umbilical cord clean and dry, and to contact the healthcare provider if there are any signs of infection (such as redness, swelling, or discharge).
The nurse should also not instruct the client to swaddle the baby tightly with his legs extended before laying him down to sleep, as this can increase the risk of hip dysplasia. Instead, the nurse should advise the client to place the baby on his back to sleep, on a firm and flat surface with no soft bedding, toys, or pillows.
Lastly, the nurse should not instruct the client to retract the foreskin to clean the baby's penis during each bath. In fact, the foreskin should never be forcibly retracted in a newborn, as it can cause pain, bleeding, and increase the risk of infection. The nurse should advise the client to simply clean the penis with warm water and mild soap during bath time, without forcibly retracting the foreskin.
Correct Answer is D
Explanation
The nurse should anticipate a urine ketones test for a client who has hyperemesis gravidarum. This test is used to monitor the client's ketone levels, which can increase as a result of excessive vomiting and nausea that can cause dehydration and malnutrition. The other tests mentioned are not typically associated with hyperemesis gravidarum.
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