A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?
"Your provider will schedule a chorionic villus sampling to determine the sex of your baby."
"This procedure determines if your baby has genetic or congenital disorders."
"We can schedule the procedure for later today if you'd like."
"You cannot have an amniocentesis until you are at least 35 years of age."
The Correct Answer is B
Rationale:
A. "Your provider will schedule a chorionic villus sampling to determine the sex of your baby." Chorionic villus sampling (CVS) is a different prenatal test that involves taking a sample of chorionic villi for genetic testing, not determining the sex of the fetus.
B. "This procedure determines if your baby has genetic or congenital disorders."
Correct answer.
Amniocentesis is a prenatal test used to diagnose genetic disorders or chromosomal abnormalities, not to determine the sex of the fetus.
C. "We can schedule the procedure for later today if you'd like." Amniocentesis is not typically scheduled on the same day as requested. It requires prior preparation and scheduling.
D. "You cannot have an amniocentesis until you are at least 35 years of age." There's no age restriction for amniocentesis based solely on maternal age. It's typically recommended for women at higher risk for genetic conditions, regardless of age.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Administering methylergonovine is not appropriate for a fourth-degree perineal laceration.
Methylergonovine is typically used to prevent or treat postpartum hemorrhage by promoting uterine contractions.
B. Applying povidone-iodine to the client's perineum is not indicated for the management of a perineal laceration. Povidone-iodine is an antiseptic solution used for wound cleansing, but it may be too harsh for the perineal area.
C. Providing the client with a cool sitz bath is appropriate for managing discomfort and promoting healing after a fourth-degree perineal laceration. A sitz bath helps to soothe the perineal area and reduces inflammation.
D. Applying a moist, warm compress to the perineum is not recommended for a fourth-degree perineal laceration, as it may increase the risk of infection and discomfort.
Correct Answer is C
Explanation
Rationale:
A. Bathing the baby immediately after a feeding is not recommended, as it may cause discomfort or spit-up due to movement and manipulation of the baby's body. It's best to wait until the baby is settled and not hungry.
B. Putting a soft mattress in the baby's crib increases the risk of sudden infant death syndrome (SIDS). Firm mattresses are recommended to reduce the risk of suffocation.
C. Washing the baby's face with plain water is a safe and appropriate instruction. Using plain water helps prevent irritation or allergic reactions that may occur with soaps or other cleansing agents.
D. Placing a bumper pad in the baby's crib is not recommended due to the risk of suffocation and strangulation. Bumper pads can also increase the risk of SIDS.
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