Following the prenatal clinic's screening protocol, the practical nurse (PN) is preparing laboratory prescriptions for clients who are scheduled to be seen today. Which screening test should be scheduled for a client who is gravida 4 para 3 at 16-weeks gestation?
Maternal serum alpha-feto protein (MSAFP).
Repeat indirect Coombs' test.
Glucose tolerance test (GTT).
Group B Streptococcus culture.
The Correct Answer is A
The screening test that should be scheduled for a client who is gravida 4 para 3 at 16-weeks gestation is **Maternal serum alpha-feto protein (MSAFP)**. Second trimester prenatal screening may include several blood tests, called multiple markers. These markers provide information about a woman's risk of having a baby with certain genetic conditions or birth defects. Screening is usually done by taking a sample of the mother's blood between the 15th and 20th weeks of pregnancy (16th to 18th is ideal)².

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
If the client in active labor expresses a desire to empty her bladder and her vaginal exam is unchanged, the practical nurse (PN) should assist her up to the bathroom. An empty bladder can help facilitate labor progress.
Reviewing the fetal heart rate pattern (A) is important, but it is not the most appropriate action in response to the client's request to empty her bladder. Checking the perineum for changes in "show" or discharge (C) is also important, but it is not the most appropriate action in this situation. Obtaining a straight catheter kit to empty the client's bladder (D) may be necessary if she is unable to empty her bladder on her own, but assisting her up to the bathroom should be attempted first.
Correct Answer is B
Explanation
Athlete's foot is a fungal infection, and antibiotics are not effective against fungi. The PN should inform the client that they need to use an antifungal medication instead of an antibiotic.
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