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 ["B","C","D","E"]
Explanation
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.

Correct Answer is B
Explanation
Choice A rationale:
Broccoli is not a reliable source of Vitamin B12. It is a good source of other nutrients like Vitamin C and fiber.
Choice B rationale:
Skim milk is a reliable source of Vitamin B12 and is often fortified with this essential vitamin.
Choice C rationale:
Figs are not a reliable source of Vitamin B12. They are a good source of fiber and certain minerals, but they do not contain Vitamin B12.
Choice D rationale:
Stewed tomatoes are not a reliable source of Vitamin B12. They are a good source of certain vitamins and minerals, but not Vitamin B12.
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