A nurse is reinforcing teaching with a client who is at 15 weeks of gestation and is about to undergo an amniocentesis. The nurse should reinforce that this test can identify which of the following traits or problems? (Select all that apply.)
Cephalopelvic disproportion
Neural tube defects
Rh incompatibility
Fetal gender
Chromosome defects
Correct Answer : B,C,D,E
Choice A rationale: Cephalopelvic disproportion is a condition where the baby's head is too large or the mother's pelvis is too small for a vaginal delivery. Amniocentesis does not provide information about this condition.
Choice B rationale: Amniocentesis can be used to detect neural tube defects such as spina bifida and anencephaly.
Choice C rationale: Rh incompatibility occurs when the mother is Rh-negative, and the fetus is Rh-positive. This can lead to hemolytic disease of the newborn (HDN) if untreated. While Rh incompatibility can be detected through blood tests (maternal blood), amniocentesis is typically not used to diagnose this condition.
Choice D rationale: Amniocentesis can be used to determine the fetal gender by analyzing the DNA in the amniotic fluid. This is not the primary purpose of amniocentesis, but it can certainly identify the gender, especially in cases where this information is needed for medical reasons, such as gender-linked genetic disorders.
Choice E rationale: Amniocentesis is commonly used to screen for chromosomal abnormalities such as Down syndrome (trisomy 21) and other genetic conditions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: This response dismisses the client's concerns and is not helpful or informative.
Choice B rationale: While some situations may warrant a repeat cesarean section, this response is not appropriate without knowing the client's specific medical history and the reason for the previous cesarean birth.
Choice C rationale: While there are indeed various factors that impact the possibility of VBAC, the nurse can still provide some general information and considerations to the client, especially regarding the type of uterine incision.
Choice D rationale: This option provides appropriate information to the client regarding VBAC. The type of uterine incision from the previous cesarean birth is a crucial factor in determining whether VBAC is safe and feasible. Clients with a low transverse uterine incision generally have a higher likelihood of being candidates for VBAC.
Correct Answer is D
Explanation
A. Breast engorgement typically occurs around days 3 to 5 postpartum, so encouraging frequent nursing at 14 hours postpartum will not impact milk production at this stage.
B. A temperature of 37.7°C (100°F) is a normal postpartum finding due to dehydration and hormonal changes. It does not require reporting unless it exceeds 38°C (100.4°F).
C. Increasing IV fluids is not necessary unless there is evidence of dehydration or another medical indication.
D. A slightly deviated fundus suggests bladder distension, which can interfere with uterine involution. Asking the client to empty her bladder helps the uterus contract properly and prevents complications such as postpartum hemorrhage.
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