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 B

Explanation

A. Incorrect. While using a disposable razor is a precaution for individuals taking anticoagulants to reduce the risk of bleeding, it is not specific to warfarin.
B. Correct. Taking oral contraceptives along with warfarin can increase the risk of bleeding.

Therefore, the client should be advised not to take oral contraceptives while on warfarin.

C. Incorrect. Aspirin is not typically recommended for pain relief in individuals taking warfarin due to the increased risk of bleeding.

D. Incorrect. The duration of warfarin therapy is individualized based on the specific condition being treated. It is not a fixed 2-week period.

A. Apply a warm pack to the puncture site prior to the procedure. B. Apply a mummy restraint to the newborn for the procedure. C. Apply antiseptic solution to the puncture site after the procedure. D. Elevate the extremity prior to the procedure.

Correct Answer is A

Explanation

A. Applying a warm pack to the puncture site before the procedure increases blood flow to the area, which makes the blood sample collection easier and reduces discomfort for the newborn.

B. A mummy restraint may not be necessary for a routine blood glucose test. The nurse can gently hold the newborn in place during the procedure without needing to fully restrain them.

C. Antiseptic solution is typically applied before the puncture to cleanse the area. After the procedure, gentle pressure and bandaging are more appropriate to stop bleeding.

D. Elevating the extremity is unnecessary for a newborn blood glucose test, as warming the area is more effective in promoting blood flow to the puncture site.

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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

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Explanation

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Explanation

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