A nurse is discussing a client's maternal serum alpha-fetoprotein screening results with a newly licensed nurse. Which of the following conditions is associated with low levels?

Multiple gestation

Down syndrome

Intrauterine growth restriction

Neural tube defect

Answer and Explanation

The Correct Answer is B

A.   Multiple gestation is associated with elevated levels of alpha-fetoprotein, not low levels.
B.   Down syndrome is associated with low levels of alpha-fetoprotein.

C.   Intrauterine growth restriction is not directly associated with maternal serum alpha-fetoprotein levels.
D.   High levels of maternal serum alpha fetoprotein indicate a neurl tube defect such as spina bifida

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Correct Answer is ["A","B","D"]

Explanation

A. Correct. Large for gestational age (LGA. infants may have a higher risk of birth injuries, including ecchymosis (bruising) due to their size.
B. Correct. Encouraging breastfeeding is important for all newborns, including those who are large for gestational age.
C. This action is not specifically related to caring for a newborn who is large for gestational age. Meconium may be collected for other reasons, but it is not a priority in this situation.
D. Correct. LGA infants are at increased risk for hypoglycemia due to maternal gestational diabetes. Monitoring blood glucose levels is important.
E. This action is not typically indicated for newborns who are large for gestational age. It is important to focus on monitoring and providing supportive care unless there arespecific medical indications for a blood transfusion.

A. TENS eliminates pain during a contraction. B. TENS is contraindicated for clients who have gestational diabetes. C. TENS intensity is manually increased during a contraction. D. TENS is most useful during the third stage of labor.

Correct Answer is C

Explanation

A. TENS provides pain relief but does not eliminate pain completely during contractions.
B. TENS is not contraindicated for clients with gestational diabetes unless there are specific medical concerns related to its use.
C. TENS intensity should be increased during contractions to provide additional pain relief.
D. TENS can be useful throughout labor, not just during the third stage.

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A nurse is discussing a client's maternal serum alpha-fetoprotein screening results with a newly licensed nurse. Which of the following conditions is associated with low levels?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a newborn who is large for gestational age. Which of the following actions should the nurse include in the plan of care? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

A nurse is reinforcing teaching with a client about the use of a transcutaneous electrical nerve stimulation (TENS) device for back pain during labor. Which of the following information should the nurse include?

Correct Answer is C

Explanation

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