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 D

Explanation

Choice A rationale

21-day mixed type pills contain estrogen and progesterone, which can reduce milk supply in breastfeeding mothers and are not recommended.

Choice B rationale

Mixed type pills with estrogen and progesterone are not ideal for breastfeeding mothers as estrogen can interfere with milk production and affect milk quality.

Choice C rationale

Estrogen-only pills are not suitable for breastfeeding mothers as estrogen can decrease milk supply and affect infant feeding patterns, leading to poor weight gain in infants.

Choice D rationale

Progesterone-only pills are recommended for breastfeeding mothers as they do not affect milk supply and are safe for the infant while providing effective contraception.

A. Ultrasonography. B. Human chorionic gonadotropin (HCG) levels. C. Nagele’s rule. D. Fundal height.

Correct Answer is A

Explanation

Choice A rationale

Ultrasonography provides the most accurate assessment of gestational age, especially in the first trimester, by measuring the crown-rump length.

Choice B rationale

HCG levels can indicate pregnancy but are not as accurate for determining the exact gestational age.

Choice C rationale

Nagele's rule is based on the menstrual cycle and may not be accurate if cycles are irregular.

Choice D rationale

Fundal height measurement is less accurate in early pregnancy and more useful in later trimesters.

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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

Oral contraceptive pills are of different types. Which type is most appropriate for mothers who are breastfeeding?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

At the initial prenatal visit, and often the subsequent visits, the health care provider will obtain a clean catch urine specimen to look for all of the following, except:

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