The nurse has just received the results of a pregnant client's MSAFP screening and notes the levels are elevated.
The nurse should prioritize which discussion with the client.
Risk for Down syndrome.
Risk for neural tube defects.
Further testing is required.
Test needs to be repeated.
The Correct Answer is C
Elevated levels of MSAFP may indicate that the baby is at risk of a neural tube defect, like spina bifida.
However, further testing is required to confirm the results and determine the cause of the elevated levels.
Choice A is incorrect because low levels of MSAFP may indicate a risk for Down syndrome, not elevated levels.
Choice B is incorrect because while elevated levels of MSAFP may indicate a risk for neural tube defects, further testing is required to confirm this.
Choice D is incorrect because while repeating the test may be necessary, further testing beyond just repeating the MSAFP screening may also be required.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
At 10 months old, infants are typically able to sit steadily without support.
This is a developmental milestone that should be reported to the provider if not met.
Choice B is not an answer because playing peek-a-boo is not a typical milestone for a 10-month-old infant.
Choice C is not an answer because turning pages in a book is not a typical milestone for a 10-month-old infant.
Choice D is not an answer because recognizing objects by name is not a typical milestone for a 10-month-old infant.
Correct Answer is D
Explanation
The Ortolani test is a screening test that would help rule out a hip problem related to babies who are breech.
It is used to check for developmental dysplasia of the hip (DDH).
Choice A is not an answer because bracing is a treatment for DDH, not a screening test.
Choice B is not an answer because genu valgum is a condition where the knees angle in and touch each other when the legs are straightened, and it is not a screening test for DDH.
Choice C is not an answer because the Adams test is used to screen for scoliosis, not DDH.
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