A nurse is reinforcing teaching with a client about laboratory testing during pregnancy. Which of the following statements should the nurse include in the teaching?

"A Papanicolaou test will be performed to detect the presence of herpes simplex type 1."

"A group B streptococcus screening will be performed to determine the presence of STs."

"A multiple marker screening will be performed to identify neural tube defects."

"A glucose tolerance test will be performed to predict hyperglycemia in your baby"

Answer and Explanation

The Correct Answer is C

(A) "A Papanicolaou test will be performed to detect the presence of herpes simplex type 1."
The Papanicolaou (Pap) test is not performed during pregnancy to detect herpes simplex type 1. The Pap test is a cervical cancer screening test that detects abnormal cervical cells, usually caused by human papillomavirus (HPV) infection or other factors. It is not used to detect herpes simplex type 1.

(B) "A group B streptococcus screening will be performed to determine the presence of STs."
Group B Streptococcus (GBS) screening is performed during pregnancy to detect the presence of GBS bacteria in the mother's genital and rectal areas. GBS is a common bacteria that can cause serious infections in newborns if passed from the mother during childbirth. GBS screening is not related to sexually transmitted infections (STIs).

(C) "A multiple marker screening will be performed to identify neural tube defects."
Multiple marker screening, also known as maternal serum screening or quad screen, is a routine prenatal test performed between 15 and 20 weeks of gestation. It helps identify the risk of certain chromosomal abnormalities, including neural tube defects like spina bifida and anencephaly. This screening measures the levels of certain proteins in the mother's blood to assess the risk of these birth defects.

(D) "A glucose tolerance test will be performed to predict hyperglycemia in your baby."
A glucose tolerance test (GTT) is performed during pregnancy to diagnose gestational diabetes mellitus (GDM), a condition characterized by high blood sugar levels during pregnancy. The purpose of the GTT is to identify maternal hyperglycemia, which can lead to complications for both the mother and the baby. The test is not performed to predict hyperglycemia specifically in the baby.

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Correct Answer is A

Explanation

(A) Perform unbiased teaching:
The nurse should provide comprehensive and unbiased information about the various methods of contraception available. This involves explaining the pros and cons of each method, effectiveness, potential side effects, and how each method aligns with the client's lifestyle and health needs, allowing the client to make an informed decision.

(B) Assess the client's socioeconomic status:
While understanding the client's socioeconomic status can provide context for their healthcare needs and potential barriers to accessing certain types of contraception, it is not the primary action when inquiring about contraception methods. The focus should be on providing unbiased information first.

(C) Collect a dietary history:
Collecting a dietary history is not directly relevant to discussing contraception methods. While nutritional status is important for overall health, it does not significantly impact the choice of contraception.

(D) Select the best method of contraception for the client:
The nurse should not select the contraception method for the client. Instead, the nurse's role is to provide the necessary information and support for the client to make their own informed choice. Autonomy and personal preference are key factors in selecting a contraception method.

A. "I have contractions more often than every 10 minutes, might be in preterm labor.” B. "I can take a daily iron supplement to prevent preterm labor.” C. "I should expect to feel pain in my upper right abdomen if I'm having preterm labor.” D. "I might be experiencing preterm labor if walking stops my contractions."

Correct Answer is A

Explanation

(D) "I might be experiencing preterm labor if walking stops my contractions."
Walking or changing positions may temporarily alleviate contractions in some cases, but this does not necessarily indicate preterm labor. In fact, true preterm labor contractions typically continue despite activity changes. Therefore, this statement does not demonstrate an accurate understanding of preterm labor signs.

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A nurse is reinforcing teaching with a client about laboratory testing during pregnancy. Which of the following statements should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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