A nurse is caring for a patient scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation.
Which explanations about this test should the nurse provide to the patient?
This test is a screening for spinal defects in the fetus.
This test assesses various markers of fetal well-being.
This test identifies an Rh incompatibility between the mother and fetus.
This test assesses fetal lung maturity.
The Correct Answer is A
Choice A rationale
The maternal serum alpha-fetoprotein test is a part of what’s often called the “triple screen” that can assess whether a pregnant woman may be at increased risk of carrying a baby with certain disorders, such as neural tube defects (spinal defects) or Down syndrome.
Choice B rationale
While the test can provide information about the risk of certain birth defects, it does not assess various markers of fetal well-being.
Choice C rationale
The test does not identify an Rh incompatibility between the mother and fetus. That would be determined through separate blood tests.
Choice D rationale
The test does not assess fetal lung maturity. Other tests, such as amniocentesis, can provide this information.
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Related Questions
Correct Answer is A
Explanation
Choice A rationale
Gradual lordosis, or the inward curvature of the spine, is a common physiological change during pregnancy. As the baby grows and the woman’s center of gravity shifts, the spine adjusts to maintain balance.
Choice B rationale
Decreased mobility of pelvic joints is not a typical physiological change during pregnancy. In fact, the body releases the hormone relaxin during pregnancy, which allows the ligaments in the pelvic area to relax and the joints to become looser in preparation for the birth process.
Choice C rationale
Increased abdominal muscle tone is not a typical physiological change during pregnancy. In fact, as the baby grows, the abdominal muscles stretch and can even separate, a condition known as diastasis recti.
Choice D rationale
Posterior neck flexion is not a typical physiological change during pregnancy.
Correct Answer is C
Explanation
Choice C rationale
While moderate caffeine consumption is generally considered safe during pregnancy, it’s important to note that caffeine is a stimulant and can increase heart rate and blood pressure, which can potentially affect the baby. Some studies also suggest that high caffeine intake may increase the risk of preterm birth or low birth weight. Therefore, it’s often recommended that pregnant women limit their caffeine intake.
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