A nurse is discussing a client's maternal serum alpha-fetoprotein screening results with a newly licensed nurse. Which of the following conditions is associated with low levels?

Multiple gestation

Down syndrome

Intrauterine growth restriction

Neural tube defect

Answer and Explanation

The Correct Answer is B

A.   Multiple gestation is associated with elevated levels of alpha-fetoprotein, not low levels.
B.   Down syndrome is associated with low levels of alpha-fetoprotein.

C.   Intrauterine growth restriction is not directly associated with maternal serum alpha-fetoprotein levels.
D.   High levels of maternal serum alpha fetoprotein indicate a neurl tube defect such as spina bifida

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Correct Answer is A

Explanation

A. Recurrent variable decelerations of the fetal heart rate (FHR) are concerning and can indicate fetal distress.
B. Uterine contractions every 6 minutes may not provide effective progress in labor, but it is not indicative of fetal distress.
C. Uterine contractions lasting 30 to 45 seconds are within the normal range for labor.
D. Moderate variability of the FHR is a reassuring sign and indicates that the fetus is tolerating labor well.

A. Bulging anterior fontanel B. Decreased urine specific gravity C. Bounding pulses D. Decreased skin turgor

Correct Answer is D

Explanation

A. A bulging anterior fontanel suggests increased intracranial pressure, not dehydration.
B. Decreased urine specific gravity can occur with hydration or dilute urine, and it is not specific to dehydration.
C. Bounding pulses may be present in various conditions but are not a direct sign of dehydration.
D. Decreased skin turgor is a classic sign of dehydration in both infants and adults. It indicates a deficit of body fluids.

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A nurse is discussing a client's maternal serum alpha-fetoprotein screening results with a newly licensed nurse. Which of the following conditions is associated with low levels?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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