A nurse is providing teaching to a client who is scheduled for an alpha-fetoprotein (AFP) test. Which of the following statements should the nurse include?

You should not eat or drink for 8 hours before the test.

It is a screening test so it does not actually diagnose anomalies.

Since you have no chronic illnesses, your test results should be fine.

You will be on bed rest for 4 hours after the test.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Fasting for 8 hours before the AFP test is not required. This misinformation might cause unnecessary patient anxiety. Understanding test protocols helps in providing accurate and reassuring patient education, reducing pre-test stress.

Choice B rationale

AFP test is a screening tool to identify potential anomalies such as neural tube defects or chromosomal abnormalities. It does not provide a definitive diagnosis but indicates if further diagnostic testing is warranted for confirming anomalies.

Choice C rationale

Absence of chronic illnesses does not guarantee normal AFP test results. This statement is misleading, as AFP levels can be affected by a variety of factors, including gestational age and fetal conditions, requiring comprehensive analysis.

Choice D rationale

Bed rest is not necessary after an AFP test. This misinformation may cause unnecessary concern or inconvenience for the patient. Proper understanding of post-test care helps in providing correct patient instructions and alleviating fears.

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

Explanation

Choice A rationale

Linea nigra, a dark line on the abdomen, appears due to increased melanocyte-stimulating hormone during pregnancy.

Choice B rationale

Eczema is not specifically associated with pregnancy and can occur independently of it.

Choice C rationale

Striae gravidarum, or stretch marks, are due to skin stretching and increased cortisone during pregnancy.

Choice D rationale

Psoriasis is not commonly related to pregnancy changes and occurs regardless of pregnancy.

Choice E rationale

Chloasma, also known as the mask of pregnancy, is due to increased pigmentation from hormonal changes.

A. Client at 6 weeks gestation reporting frequent urination. B. Client at 25 weeks gestation reporting menstrual-like cramps. C. Client at 30 weeks gestation reporting leg cramps while reclining. D. Client at 36 weeks gestation reporting a reddened, pruritic lower abdominal rash.

Correct Answer is B

Explanation

Choice A rationale

Frequent urination is common in early pregnancy due to hormonal changes and increased blood flow to the pelvic area. It is not typically a sign of an urgent complication requiring immediate attention.

Choice B rationale

Menstrual-like cramps at 25 weeks gestation could indicate preterm labor, which is a potential emergency. Prompt evaluation is necessary to ensure the health and safety of both the mother and the fetus.

Choice C rationale

Leg cramps while reclining are common in later stages of pregnancy due to changes in circulation and increased pressure on the veins. They are usually not a sign of an urgent complication.

Choice D rationale

A reddened, pruritic lower abdominal rash could indicate a skin condition or allergic reaction, but it is generally not an urgent complication during pregnancy unless accompanied by other severe symptoms.

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A nurse is providing teaching to a client who is scheduled for an alpha-fetoprotein (AFP) test. Which of the following statements should the nurse include?

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Naxlex Comprehensive Predictor Exams

A nurse in a prenatal clinic is completing a skin assessment of a client who is in the second trimester. Which of the following findings should the nurse expect?

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

Explanation

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Correct Answer is B

Explanation

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