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 C

Explanation

A. Homans' sign is a test for deep vein thrombosis and is not a normal postpartum finding.
B. Full, firm breasts typically occur a few days after delivery when milk production begins, not at 20 hours postpartum.
C. A firm fundus at the midline is an expected finding in the immediate postpartum period, indicating that the uterus is contracting and involuting properly.
D. Lochia serosa (pinkish-brown discharge) is a normal finding around 3 to 10 days postpartum, but it is not typically present at 20 hours postpartum.

A. Yogurt B. Long-grain rice C. Avocados D. Peanut butter E. Peanut butter

Correct Answer is A

Explanation

A. Yogurt is a good source of calcium and is a suitable recommendation for a client with a low calcium level during pregnancy.
B. Long-grain rice is not particularly high in calcium.
C. Avocados are a healthy food but are not a significant source of calcium.
D. Peanut butter is not a significant source of calcium.

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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 C

Explanation

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Correct Answer is A

Explanation

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