A nurse is caring for a client who is scheduled for a cesarean birth based on the fetal lungs having reached maturity. Which of the following indicates that the fetal lungs are mature?
Biophysical profile score of 8
Phosphatidylglycerol (PG) absent
Lecithin/sphingomyelin (L/S) ratio of 2:1
Nonstress test is reactive
The Correct Answer is C
Choice A reason: A biophysical profile score of 8 is a good indicator of fetal well-being, but it does not measure the fetal lung maturity. It consists of five parameters: fetal breathing movements, fetal movements, fetal tone, amniotic fluid volume, and nonstress test.
Choice B reason: Phosphatidylglycerol (PG) is a phospholipid that is present in the fetal lung surfactant. Its presence indicates that the fetal lungs are mature, while its absence does not rule out the possibility of maturity.
Choice C reason: Lecithin and sphingomyelin are two phospholipids that are found in the fetal lung surfactant. The L/S ratio is the ratio of lecithin to sphingomyelin in the amniotic fluid. A ratio of 2:1 or higher indicates that the fetal lungs are mature and can produce enough surfactant to prevent respiratory distress syndrome.
Choice D reason: A nonstress test is a test that measures the fetal heart rate and its response to fetal movements. A reactive test means that the fetal heart rate increases by at least 15 beats per minute for at least 15 seconds twice in a 20-minute period. This indicates that the fetus is healthy and well-oxygenated, but it does not reflect the fetal lung maturity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Strategies to enhance condom use is correct because it is the most effective way to motivate clients to use condoms consistently and correctly. Some of these strategies include providing education, demonstrating skills, addressing barriers, and promoting communication.
Choice B reason: Places to carry condoms safely is incorrect because it is not the most essential component of counseling related to the prevention of sexually transmitted infections and human immunodeficiency virus. It is a practical aspect of condom use, but it does not address the underlying attitudes, beliefs, and behaviors that influence condom use.
Choice C reason: Leaving the decision up to the male partner is incorrect because it is not a way to motivate clients to use condoms. It is a passive and disempowering approach that can increase the risk of infection and unwanted pregnancy. Clients should be encouraged to take an active role in their sexual health and negotiate condom use with their partners.
Choice D reason: Choice of colors and special features is incorrect because it is not the most essential component of counseling related to the prevention of sexually transmitted infections and human immunodeficiency virus. It is a superficial aspect of condom use, but it does not address the underlying attitudes, beliefs, and behaviors that influence condom use.
Correct Answer is C
Explanation
Choice A reason: Chlamydia is not the least common of all the major sexually transmitted diseases. In fact, it is the most common bacterial STD in the world, affecting about 131 million people each year. ¹ Therefore, this statement is false and does not need to be emphasized.
Choice B reason: Good handwashing technique is not the best way to prevent chlamydial infections. Chlamydia is spread through sexual contact, not through casual contact or hygiene. The best way to prevent chlamydial infections is to practice safe sex, such as using condoms, limiting the number of partners, and getting tested regularly. Therefore, this statement is misleading and does not need to be emphasized.
Choice C reason: Most people infected with chlamydia are unaware that they are infected. This is because chlamydia often has no symptoms, or the symptoms are mild and easily ignored. This can lead to serious complications, such as pelvic inflammatory disease, infertility, ectopic pregnancy, and increased risk of HIV. Therefore, this statement is true and needs to be emphasized.
Choice D reason: Burning and pain with urination is a frequent symptom of chlamydial infections. However, this symptom is not specific to chlamydia, as it can also occur with other STDs or urinary tract infections. Moreover, not all people with chlamydia experience this symptom, especially women. Therefore, this statement is not very informative and does not need to be emphasized.
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