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A nurse is explaining the purpose of an Alpha-fetoprotein Test (AFP) to a pregnant client.

What is the test primarily used for ?

Screening for neural tube defects.

Assessing placental function.

Determining fetal gender

Diagnosing chromosomal abnormalities

Answer and Explanation

The Correct Answer is A

An alpha-fetoprotein test (AFP) is a blood test that measures the amount of AFP present in blood.

It’s usually part of what’s called a triple screen or quad screen in the second trimester of pregnancy.

The yolk sac, GI tract, and liver of an unborn baby produce AFP.

It then circulates through the fetal and maternal blood.

High levels of AFP in pregnant people can indicate that the baby has a neural tube defect, such as spina bifida or anencephaly.

Choice B is wrong because assessing placental function is not the primary purpose of an AFP test.

However, low levels of AFP can indicate problems with the placenta or the baby’s growth.

Choice C is wrong because determining fetal gender is not the primary purpose of an AFP test.

However, some genetic tests that use a sample of the baby’s DNA from the pregnant person’s blood can reveal the baby’s sex as early as 10 weeks of pregnancy.

Choice D is wrong because diagnosing chromosomal abnormalities is not the primary purpose of an AFP test.

However, an AFP test is usually part of a quad screen that also tests for other markers that can indicate the risk of chromosomal abnormalities, such as Down syndrome.

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Correct Answer is A

Explanation

The correct answer is choice A. Notify the health care provider immediately.

This is because cramping and vaginal bleeding 24 hours after amniocentesis are signs of possible complications, such as injury to the baby or mother, leaking of amniotic fluid, infection, Rh sensitization, preterm labor, or miscarriage.

These complications are rare, but they can be serious and require immediate medical attention.

Choice B is wrong because administering pain medication to the patient does not address the underlying cause of the cramping and bleeding, and may delay seeking help.

Choice C is wrong because encouraging the patient to rest and elevate her legs may not prevent further complications, and may also delay seeking help.

Choice D is wrong because offering emotional support and reassurance to the patient is not enough to ensure the safety of the baby and the mother, and may give a false sense of security.

Normal ranges for amniocentesis are:

No chromosomal defects detected in the fetus and no abnormal proteins present in amniotic fluid

No signs of infection or other illness in the baby

Fetal lungs mature enough for birth if delivery is planned sooner than 39 weeks

A. A 25-year-old client who has migraine headaches with aura. B. A 32-year-old client who has endometriosis. C. A 28-year-old client who has polycystic ovary syndrome D. A 22-year-old client who has irregular menstrual cycles.

Correct Answer is A

Explanation

This is because migraine headaches with aura are a contraindication for receiving oral contraceptives, as they increase the risk of stroke and other cardiovascular complications.

Some possible explanations for the other choices are:

Choice B: A 32-year-old client who has endometriosis.

This is not a contraindication for receiving oral contraceptives, as they can actually help reduce the symptoms of endometriosis by suppressing ovulation and reducing menstrual bleeding.

Choice C: A 28-year-old client who has polycystic ovary syndrome (PCOS).

This is not a contraindication for receiving oral contraceptives, as they can help regulate the menstrual cycle and lower the levels of androgens (male hormones) that cause acne, hirsutism (excess hair growth), and other problems in women with PCOS.

Choice D: A 22-year-old client who has irregular menstrual cycles.

This is not a contraindication for receiving oral contraceptives, as they can help normalize the menstrual cycle and prevent unintended pregnancy.

Normal ranges for oral contraceptive doses are:

Estrogen: 10 to 35 mcg of ethinyl estradiol or estradiol valerate

Progestin: varies depending on the type and brand of oral contraceptive

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A nurse is explaining the purpose of an Alpha-fetoprotein Test (AFP) to a pregnant client. What is the test primarily used for ?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

A nurse is reviewing contraception options for four clients. The nurse should identify that which of the following clients has a contraindication for receiving oral contraceptives?

Correct Answer is A

Explanation

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 performing an abdominal ultrasound for a client who is at 28 weeks of gestation. The nurse should instruct the client to do which of the following before the procedure?

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?

A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation. The nurse provides which of the following explanations about this test to the client?

A client is scheduled for an abdominal ultrasound in two weeks to assess fetal growth and development during pregnancy. Which of these statements made by the client indicates that further teaching is needed?

A nurse is caring for a client who is scheduled for chorionic villus sampling (CVS). Which of the following statements should indicate to the nurse that the client understands the procedure?

A nurse is discussing the risks associated with a Contraction Stress Test (CST) with a pregnant client. Which complication should the nurse mention?

A nurse is preparing a client for a biophysical profile (BPP). The nurse should instruct the client that the test involves which of the following procedures?

A nurse is explaining the purpose of an Alpha-fetoprotein Test (AFP) to a pregnant client.

What is the test primarily used for ?