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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?

A.

Multiple gestation

B.

Down syndrome

C.

Intrauterine growth restriction

D.

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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Related Questions

Correct Answer is A

Explanation

- A) The normal range for hemoglobin (Hgb) in a full-term newborn is approximately 14 to 24 g/dL. A level of 9.5 g/dL is considered low and can indicate anemia, which may require further investigation and treatment.

- B) A platelet count of 225,000/mm³ is within the normal range for a full-term newborn, which typically falls between 150,000 to 450,000/mm³. Therefore, this value would not need to be reported.

- C) A glucose level of 60 mg/dL is within the normal range for a full-term newborn, which is typically 40 to 60 mg/dL shortly after birth. This level indicates that the newborn's glucose is being regulated properly.

- D) A white blood cell (WBC) count of 10,000/mm³ is within the normal range for a full-term newborn, which can range from 9,000 to 30,000/mm³. This suggests the absence of infection or inflammation.

Correct Answer is B

Explanation

A. Applying petroleum jelly to the suppository is not necessary and may interfere with its effectiveness.
B. The suppository should be inserted along the posterior vaginal wall to ensure proper placement.
C. Inserting the suppository 5 cm (2 in) is not necessary and may result in incorrect placement.
D. There is no need for the client to be in a prone position for this procedure.

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