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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

28 to 40 pounds (13 to 18 kilograms).
Women with a low BMI (under 18.5) should gain between 28 to 40 pounds (13 to 18 kilograms) throughout their pregnancy.
Choice A, 15 to 25 pounds (7 to 11 kilograms), is incorrect because it is the recommended weight gain for women who are overweight before pregnancy.
Choice C, 16 to 30 pounds (7.25 to 14 kilograms), is incorrect because it does not fall within the recommended weight gain range for women with a low BMI.
Choice D, 25 to 35 pounds (11 to 16 kilograms), is incorrect because it is the recommended weight gain for women who are at a healthy weight before pregnancy.

A. Administer misoprostol vaginally. B. Administer acetaminophen orally. C. Prepare the client for placement of an intrauterine pressure catheter. D. Recheck the client's temperature in 2 hr.

Correct Answer is B

Explanation

Acetaminophen can be used to reduce fever during pregnancy.
Choice A is incorrect because misoprostol is not used to treat fever during labor.
Choice C is incorrect because the placement of an intrauterine pressure catheter is not used to treat fever during labor.
Choice D is incorrect because simply rechecking the client’s temperature in 2 hours does not address the issue of the client’s fever.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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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.