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 B
Explanation
This is known as the Adams Forward Bend Test and is a standard screening test for scoliosis.
Choice A is incorrect because touching the chin to the chest and looking up at the ceiling does not provide a view of the spine necessary for scoliosis screening.
Choice C is incorrect because turning to the side and remaining relaxed does not provide a view of the spine necessary for scoliosis screening.
Choice D is incorrect because lying prone on the examination table does not provide a view of the spine necessary for scoliosis screening.
Correct Answer is C
Explanation
A nurse caring for a toddler who had a cast applied 2 hours ago due to multiple fractures of the right hand should report immediately to the charge nurse if the fingers on the right hand have a capillary refill of 4 seconds.
This could indicate that there is a problem with circulation.
Choice A is not an answer because it is not unusual for a child to not attempt to move her right arm or fingers after having a cast applied.
Choice B is not an answer because it is not unusual for the fingertips of the right hand to be swollen and bruised after having a cast applied.
Choice D is not an answer because it is not unusual for a child to not keep their arm elevated on a pillow after having a cast applied.
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