The nurse instructs a pregnant client that the purpose of an amniocentesis at 36 weeks gestation is for:
Identifying the sex of the fetus.
Detection of metabolic disorders.
Determining fetal lung maturity.
Identification of abnormal fetal cells.
The Correct Answer is C
Choice A rationale
The sex of the fetus can be determined earlier through ultrasound or blood tests, making amniocentesis at 36 weeks unnecessary for this purpose.
Choice B rationale
Detection of metabolic disorders can also be done earlier in the pregnancy through other tests. Amniocentesis at 36 weeks is not typically used for this purpose.
Choice C rationale
Determining fetal lung maturity is a primary reason for performing an amniocentesis at 36 weeks gestation. This test assesses whether the fetus's lungs are developed enough for the baby to breathe independently after birth.
Choice D rationale
Identification of abnormal fetal cells can be done earlier in pregnancy through amniocentesis or other genetic tests. It is not the primary reason for amniocentesis at 36 weeks.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Quickening, the first movements of the fetus felt by the mother, typically occurs between 18-20 weeks gestation. At 18 weeks, it's likely the mother will feel a fluttering sensation soon.
Choice B rationale
While fetal movements can sometimes be felt later, it's generally expected that by 18-20 weeks, movements should be noticeable.
Choice C rationale
The baby does move at 18 weeks, but the mother typically begins to feel these movements at this stage, known as quickening.
Choice D rationale
Suggesting the mother should have felt movement by now could cause unnecessary anxiety. Most women feel their baby's movements between 18-20 weeks. .
Correct Answer is A
Explanation
Choice A rationale
Increasing folic acid intake immediately is recommended because it helps prevent neural tube defects, which can occur very early in pregnancy, often before a woman knows she is pregnant.
Choice B rationale
Starting folic acid intake one week before her period is not sufficient. Folic acid needs to be taken consistently before conception and during early pregnancy to be effective.
Choice C rationale
Waiting until pregnancy is confirmed may be too late to prevent neural tube defects, which form in the early weeks of pregnancy.
Choice D rationale
If she misses her period, it might already be too late to prevent neural tube defects. Consistent intake of folic acid before and during early pregnancy is essential.
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