A nurse is educating a pregnant client about the Alpha-fetoprotein Test (AFP).

What should the nurse include as a reason why AFP results are reported as multiples of the median (MoM)?

To compare the measured level of AFP to the expected level for a given gestational age.

To differentiate between neural tube defects and chromosomal abnormalities.

To assess the risk of fetal demise or multiple gestation.

To account for factors such as maternal weight and race.

Answer and Explanation

The Correct Answer is A

This is because AFP levels vary according to the gestational age of the fetus, and reporting them as multiples of the median (MoM) allows for a standardized comparison.

Choice B is wrong because AFP results do not differentiate between neural tube defects and chromosomal abnormalities.

They only indicate an increased risk for these conditions, which need further testing to confirm.

Choice C is wrong because AFP results do not assess the risk of fetal demise or multiple gestation.

They only measure the amount of AFP in the maternal blood, which can be affected by various factors such as maternal weight, race, diabetes, and fetal anomalies.

Choice D is wrong because AFP results are reported as MoM regardless of factors such as maternal weight and race.

These factors are taken into account when calculating the MoM value, which adjusts for the expected variation in AFP levels among different populations.

Normal ranges for AFP MoM vary depending on the laboratory and the method used, but generally they are between 0.5 and 2.52.

Values above or below this range may indicate an increased risk for certain fetal conditions or complications.

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Correct Answer is B

Explanation

The correct answer is choice B. The nurse should inform her that results are typically available within 7 days.

This is known as the rapid CVS result.

A more detailed set of CVS results will be available within 2 weeks.

Choice A is wrong because 24 hours is too short for the laboratory to test the sample of cells from the placenta.

Choice C is wrong because 10-14 days is the timeframe for the more detailed set of CVS results, not the rapid CVS result.

Choice D is wrong because 30 days is too long for the results to be available.

The woman would need to know the results sooner to make informed decisions about her pregnancy.

A. To measure the fetal heart rate (FHR) in response to fetal movements. B. To monitor the uterine contractions. C. To indicate adequate fetal oxygenation and normal fetal neurological function. D. To assess fetal well-being and identify fetal hypoxia or distress.

Correct Answer is A

Explanation

To measure the fetal heart rate (FHR) in response to fetal movements.

This is because the FHR should increase by at least 15 beats per minute for at least 15 seconds when the fetus moves, which indicates a healthy and reactive fetus.

This is called an acceleration.

Choice B is wrong because the uterine contractions are not related to the fetal movements or the button pressing.

The uterine contractions are measured by a tocodynamometer or an intrauterine pressure catheter.

Choice C is wrong because the fetal oxygenation and neurological function are not directly measured by the button pressing.

The fetal oxygenation can be assessed by the FHR variability and decelerations, while the neurological function can be evaluated by other tests such as biophysical profile or fetal acoustic stimulation.

Choice D is wrong because the fetal well-being and hypoxia or distress are not indicated by the button pressing alone.

The fetal well-being and hypoxia or distress are determined by the FHR patterns, such as baseline, variability, accelerations and decelerations.

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A nurse is educating a pregnant client about the Alpha-fetoprotein Test (AFP). What should the nurse include as a reason why AFP results are reported as multiples of the median (MoM)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who had chorionic villus sampling (CVS) performed at 12 weeks’ gestation and asks when she can expect results from this test. The nurse should inform her that results are typically available within which timeframe?

Correct Answer is B

Explanation

During a Non-Stress Test (NST), the client needs to press a button whenever they feel the fetus move. What is the purpose of this action?

Correct Answer is A

Explanation

A nurse is caring for a client who is scheduled for an amniocentesis. Which of the following should the nurse report to the provider?

A nurse is educating a pregnant client about the Non-Stress Test (NST). Which statement by the client indicates understanding of the test?

A nurse is caring for a patient who had an amniocentesis performed at 16 weeks gestation and reports cramping and vaginal bleeding 24 hours later which action should be taken first?

A nurse is preparing a client for a Contraction Stress Test (CST). Which method can be used to induce uterine contractions during the test?

A nurse is teaching about fetal development to a group of clients in the antenatal clinic. Which of the following statements should the nurse include in the teaching?

A nurse is reviewing the contraindications for a Contraction Stress Test (CST) with a pregnant client. Which condition would be a contraindication for the test?

A nurse is explaining the purpose of a Doppler ultrasound blood flow analysis to a client who has intrauterine growth restriction (IUGR). The nurse should inform the client that this test measures which of the following?

A nurse is observing fetal breathing movements on an ultrasound for a client who is undergoing a biophysical profile (BPP). The nurse should document how many points for this variable if the fetus has at least one episode of breathing lasting for 20 seconds within a 30-minute period?

A nurse is educating a pregnant client about the Alpha-fetoprotein Test (AFP).

What should the nurse include as a reason why AFP results are reported as multiples of the median (MoM)?