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.
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Related Questions
Correct Answer is D
Explanation
B. This is the vaccine for hepatitis B, a viral infection that can cause liver damage and cancer.
The CDC recommends that all newborns receive the first dose of this vaccine within 24 hours of birth, followed by two more doses at 1 to 2 months and 6 to 18 months of age.
Choice A.
MMR is incorrect, as this is the vaccine for measles, mumps, and rubella, which is not given at birth but at 12 to 15 months and 4 to 6 years of age.
Choice B.
Varicella is incorrect, as this is the vaccine for chickenpox, which is also not given at birth but at 12 to 15 months and 4 to 6 years of age.
Choice C.
DTaP is incorrect, as this is the vaccine for diphtheria, tetanus, and pertussis (whooping cough), which is not given at birth but at 2, 4, 6, and 15 to 18 months and 4 to 6 years of age.
Therefore, choice D is the best answer to this question.
Correct Answer is B
Explanation
During pregnancy, a woman needs to increase her caloric intake by approximately 300 extra calories per day.
These extra calories should come from a balanced diet of protein, fruits, vegetables, and whole grains.
Choice A is incorrect because adding an additional 500 calories/day by drinking milkshakes is not a healthy way to increase caloric intake during pregnancy.
Choice C is incorrect because doubling caloric intake is not necessary during pregnancy.
Choice D is incorrect because while it is important to watch caloric intake during pregnancy, it is also important to increase caloric intake by approximately 300 extra calories per day.
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