Which statement made by a pregnant patient indicates teaching was effective related to an elevated alpha fetoprotein (AFP) level?

The elevated AFP means may baby may have Down Syndrome

The elevated AFP means my baby may have spina bifida

The elevated AFP means my baby has Down syndrome

The elevated APR means my baby has spina bifida

Answer and Explanation

The Correct Answer is B

A. The elevated AFP means my baby may have Down Syndrome. AFP is not typically elevated in Down Syndrome; other tests like nuchal translucency or cell-free DNA are used for that.
B. The elevated AFP means my baby may have spina bifida. AFP screening is used to detect neural tube defects like spina bifida. An elevated AFP level suggests a higher risk for such conditions.
C. The elevated AFP means my baby has Down syndrome. This is incorrect; AFP is not a marker for Down Syndrome.
D. The elevated AFP means my baby has spina bifida. This is correct, but option B is a more precise statement of understanding.

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Correct Answer is ["A","B","C","E"]

Explanation

A. Maintain a thermoneutral environment: Helps prevent temperature fluctuations that can stress the heart post-surgery.
B. Accurately measure all intake and output: Ensures fluid balance is carefully monitored to prevent fluid overload or dehydration.
C. Provide for several periods of uninterrupted rest: Reduces metabolic demand, aiding in recovery and healing.
D. Incentive spirometer 10 times every hour: Inappropriate for infants following cardiac surgery, as they are unable to effectively use an incentive spirometer.
E. Encourage periods of bonding: Supports emotional well-being and aids in the infant's overall recovery and development.

A. Administer Oxytocin IV per MD orders B. Notify the healthcare provider C. Document the fundal height and consistency D. Massage the fundus until it firms

Correct Answer is D

Explanation

A. Administer Oxytocin IV per MD orders. This may be done after attempting fundal massage to help firm the uterus, but massage is the first step.
B. Notify the healthcare provider. This would be done if the fundus does not respond to massage or if excessive bleeding continues, but not before attempting to firm the fundus.
C. Document the fundal height and consistency. Documentation is important but should occur after addressing the immediate issue of a soft fundus to prevent hemorrhage.
D. Massage the fundus until it firms. The immediate action should be to massage the uterus to promote contraction and reduce bleeding. A soft, spongy uterus indicates uterine atony, which can lead to hemorrhage.

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Which statement made by a pregnant patient indicates teaching was effective related to an elevated alpha fetoprotein (AFP) level?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for an infant following the surgical repair of an atrial septal defect. Which nursing interventions are appropriate for this infant? (Select All that Apply.)

Correct Answer is ["A","B","C","E"]

Explanation

A nurse is assessing the fundus of a postpartum patient one day after delivery and notes that the fundus is soft and spongy. Which is the first nursing intervention to preform?

Correct Answer is D

Explanation

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