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 D
Explanation
Choice A reason: Syphilis is not caused by a virus, but by a bacterium called Treponema pallidum. It can also be spread through unprotected sex, but it has different stages and symptoms than herpes. Syphilis can be cured with antibiotics if detected early.
Choice B reason: HIV/AIDS is caused by a virus, but not one that is related to the virus that causes chickenpox. HIV stands for human immunodeficiency virus, which attacks the immune system and can lead to AIDS (acquired immunodeficiency syndrome). HIV can be spread through unprotected sex, but also through other means such as blood transfusion or sharing needles. HIV cannot be cured, but antiretroviral therapy can help control the infection and prevent AIDS.
Choice C reason: Gonorrhea is not caused by a virus, but by a bacterium called Neisseria gonorrhoeae. It can be spread through unprotected sex, but it usually causes symptoms such as discharge, burning, or pain in the genitals, anus, or throat. Gonorrhea can be cured with antibiotics, but some strains are resistant to treatment.
Choice D reason: Herpes simplex virus is caused by a virus that is related to the virus that causes chickenpox. There are two types of herpes simplex virus: HSV-1 and HSV-2. HSV-1 usually causes oral herpes (cold sores), while HSV-2 usually causes genital herpes. However, both types can infect either area. Herpes can be spread through any form of unprotected sex, and can be transmitted even when there are no visible sores. Herpes has no cure, but antiviral medications can help reduce the frequency and severity of outbreaks.
Correct Answer is B
Explanation
Choice A reason: Ceftriaxone is incorrect because it is not the drug of choice for syphilis treatment. It is a cephalosporin antibiotic that can be used for other bacterial infections, such as gonorrhea, meningitis, or pneumonia.
Choice B reason: Penicillin G is correct because it is the drug of choice for syphilis treatment. It is a penicillin antibiotic that can effectively cure syphilis at any stage, except for neurosyphilis, which requires intravenous administration.
Choice C reason: Acyclovir is incorrect because it is not the drug of choice for syphilis treatment. It is an antiviral medication that can be used for viral infections, such as herpes simplex virus, varicella-zoster virus, or cytomegalovirus.
Choice D reason: Tetracycline is incorrect because it is not the drug of choice for syphilis treatment. It is a tetracycline antibiotic that can be used for other bacterial infections, such as chlamydia, acne, or Lyme disease.
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