A nurse is reinforcing teaching with a client who is at 35 weeks of gestation and has a prescription for a lecithin/sphingomyelin ratio. Which of the following statements should the nurse make?
"This test will detect possible birth defects."
"This test will reveal the sex of the fetus."
"This test will identify your risk for preterm labor."
"This test will determine fetal lung maturity."
The Correct Answer is D
A. The lecithin/sphingomyelin (L/S) ratio test is not used to detect birth defects. It specifically assesses fetal lung maturity by measuring the ratio of two phospholipids present in fetal lung surfactant.
B. The L/S ratio test does not reveal the sex of the fetus. It is unrelated to fetal gender determination.
C. While preterm labor risk can be assessed through other methods, such as cervical length
measurement or fetal fibronectin testing, the L/S ratio test is specifically focused on fetal lung maturity.
D. The L/S ratio test is primarily used to determine fetal lung maturity, as an increased ratio indicates lung maturity and readiness for extrauterine life.
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Related Questions
Correct Answer is D
Explanation
Rationale for A: Delegating complicated tasks to an RN might not always be appropriate, especially if the task falls within the scope of the newly licensed nurse. Time management involves prioritizing and organizing tasks effectively, not shifting responsibility unnecessarily.
Rationale for B: Documenting all client care at the end of the shift can lead to missed or inaccurate documentation. It is more efficient to document in real-time or shortly after completing tasks, ensuring accuracy and preventing a backlog of work.
Rationale for C: Performing quick tasks before time-consuming ones may lead to neglecting critical or urgent tasks. Time-consuming tasks might be of higher priority and should be addressed based on urgency rather than the time they take.
Rationale for D: Completing one task before moving on to the next allows the nurse to focus on each task fully, reducing the chance of errors and ensuring that all tasks are completed systematically. This approach improves efficiency and task management.
Correct Answer is D
Explanation
A. Celiac disease is an autoimmune disorder characterized by intolerance to gluten, a protein found in wheat, barley, and rye. It is not directly related to excessive milk consumption.
B. Lactose intolerance is a condition in which the body is unable to digest lactose, the sugar found in milk and dairy products. Excessive milk consumption could exacerbate symptoms in individuals with lactose intolerance, but it is not the primary concern in this scenario.
C. Acute renal failure is not directly related to excessive milk consumption in an otherwise healthy toddler.
D. Excessive milk consumption can interfere with iron absorption from other foods, leading to iron-deficiency anemia, especially if the child's overall diet is poor or lacks sources of iron.
Therefore, this practice places the toddler at risk for iron-deficiency anemia.
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