A nurse is reinforcing teaching with a client who is undergoing amniotic fluid assessment for the lecithin/sphingomyelin ratio. Which of the following client statements indicates an understanding of the teaching?

"The results will show if my baby's lungs are mature."

"This test determines how well my placenta is functioning."

"This test is done if there is a risk of an Rh incompatibility."

"The results can indicate a genetic disorder."

Answer and Explanation

The Correct Answer is A

A. The lecithin/sphingomyelin (L/S) ratio assesses fetal lung maturity. A higher ratio indicates that the baby's lungs are mature enough to handle breathing air outside the womb, which is the primary purpose of this test.
B. The L/S ratio test does not assess placental function. Placental function is evaluated through other tests, such as Doppler studies or biophysical profiles.
C. The L/S ratio test is not related to Rh incompatibility. Rh incompatibility issues are managed through different assessments, such as the Coombs test and Rh factor screening.
D. The L/S ratio test does not indicate genetic disorders. Genetic disorders are assessed through tests like amniocentesis or chorionic villus sampling, not the L/S ratio.

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Correct Answer is A

Explanation

A. A single crease in the palm is correct. A single transverse palmar crease (simian line) is a common finding in infants with trisomy 21.
B. A notch in the lip is not a common finding in trisomy 21. This feature is more associated with other conditions like cleft lip or palate.
C. Extra digits on the hand (polydactyly) is not characteristic of trisomy 21. It is more commonly associated with other genetic conditions.
D. An inversion of the foot (clubfoot) is not a specific finding for trisomy 21. While some infants with trisomy 21 might have foot deformities, this is not a defining characteristic.

Correct Answer is []

Explanation

- Potential Condition: Endometritis. The symptoms of malaise, chills, decreased appetite, elevated temperature, tachycardia, a boggy and tender uterus, and foul-smelling lochia are indicative of a postpartum infection, such as endometritis.

- Actions to Take:

- Monitor the lochia amount and odor: This will help assess the presence of infection and the effectiveness of treatment.

- Assist with the administration of prescribed antibiotics: Antibiotics are the primary treatment for endometritis.

- Parameters to Monitor:

- Temperature: Monitoring for fever can help assess the response to treatment and indicate if the infection is resolving or worsening.

- Heart rate: Tachycardia may be a sign of infection or other complications, so it's important to monitor changes in heart rate.

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A nurse is reinforcing teaching with a client who is undergoing amniotic fluid assessment for the lecithin/sphingomyelin ratio. Which of the following client statements indicates an understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse in the newborn nursery is caring for an infant who has trisomy 21. When collecting data, which of the following findings should the nurse expect?

Correct Answer is A

Explanation

Correct Answer is []

Explanation

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