Each of the following pregnant women is scheduled for a 14-week antepartal visit.In planning care, the nurse would give priority teaching on Quad screening to which client?
28-year-old with history of rheumatic heart disease.
40-year-old with a history of preterm labor.
18-year-old with exposure to HIV.
35-year-old with a child with spina bifida.
The Correct Answer is D
Choice A rationale
While a history of rheumatic heart disease is significant, it does not directly correlate with the need for priority teaching on Quad screening. This condition requires careful cardiac monitoring and management during pregnancy.
Choice B rationale
A history of preterm labor is important and may require additional monitoring and interventions, but it is not a direct indication for priority teaching on Quad screening, which assesses risk for certain fetal conditions.
Choice C rationale
Exposure to HIV requires careful management and monitoring to reduce the risk of mother-to-child transmission. However, it is not specifically linked to the need for Quad screening, which is focused on detecting chromosomal abnormalities.
Choice D rationale
A history of having a child with spina bifida places this client at higher risk for having another child with neural tube defects or chromosomal abnormalities. Therefore, priority teaching on Quad screening, which includes markers for such conditions, is essential. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Lanugo is a fine hair that covers the fetus but does not primarily protect the skin from amniotic fluid exposure. It mainly helps in thermoregulation and the adherence of the vernix caseosa.
Choice B rationale
While skin care after birth is important, applying cream post-delivery does not explain why the skin is protected during gestation.
Choice C rationale
Vernix caseosa is a protective, cheese-like coating that covers the fetus's skin. It provides a barrier against the amniotic fluid, preventing maceration of the skin during the pregnancy.
Choice D rationale
Although subcutaneous fat develops in the fetus, it is not responsible for protecting the skin from amniotic fluid. The primary protective mechanism is the vernix caseosa.
Correct Answer is ["A","B","D"]
Explanation
Choice A rationale
Basal body temperature drops slightly for 24-48 hours before ovulation, indicating the most fertile period.
Choice B rationale
Luteinizing hormone surges just before ovulation, triggering the release of an egg from the ovary.
Choice C rationale
Vaginal acidity does not significantly decrease during ovulation; it remains relatively constant.
Choice D rationale
Libido often rises during ovulation due to hormonal changes, which can increase the chances of conception.
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