A nurse is reinforcing teaching with a client who is undergoing amniotic fluid assessment for the lecithin/sphingomyelin ratio. Which of the following client statements indicates an understanding of the teaching?

"The results will show if my baby's lungs are mature."

"This test determines how well my placenta is functioning."

"This test is done if there is a risk of an Rh incompatibility."

"The results can indicate a genetic disorder."

Answer and Explanation

The Correct Answer is A

A. The lecithin/sphingomyelin (L/S) ratio assesses fetal lung maturity. A higher ratio indicates that the baby's lungs are mature enough to handle breathing air outside the womb, which is the primary purpose of this test.
B. The L/S ratio test does not assess placental function. Placental function is evaluated through other tests, such as Doppler studies or biophysical profiles.
C. The L/S ratio test is not related to Rh incompatibility. Rh incompatibility issues are managed through different assessments, such as the Coombs test and Rh factor screening.
D. The L/S ratio test does not indicate genetic disorders. Genetic disorders are assessed through tests like amniocentesis or chorionic villus sampling, not the L/S ratio.

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Correct Answer is A

Explanation

A. Feeding sessions typically last 20 to 30 minutes, allowing the newborn to feed at a comfortable pace and promoting bonding.
B. Formula remaining in the bottle after feeding should be discarded because bacteria from the infant’s mouth can contaminate it; it should not be refrigerated for reuse.
C. Prepared formula can be safely stored in the refrigerator for up to 48 hours only if it has not been fed to the infant; however, once offered, it must be discarded after the feeding.
D. The newborn should be burped periodically during the feeding, such as halfway through and at the end, to reduce swallowed air and discomfort.

A. "I will need to start chemotherapy immediately." B. "I will need home palliative services after I am discharged from the hospital." C. "I will need an amniocentesis within 1 month." D. "I will need to attend a support group when I get home."

Correct Answer is D

Explanation

A. "I will need to start chemotherapy immediately." is incorrect. Chemotherapy is not always immediately necessary. Treatment depends on follow-up tests and the presence of persistent or malignant disease.
B. "I will need home palliative services after I am discharged from the hospital." is incorrect. Most clients recovering from a molar pregnancy do not require home palliative services unless there are specific complications.
C. "I will need an amniocentesis within 1 month." is incorrect. Amniocentesis is not required for clients recovering from a molar pregnancy.
D. "I will need to attend a support group when I get home." is correct. Support groups are helpful for emotional support and recovery after a molar pregnancy.

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A nurse is reinforcing teaching with a client who is undergoing amniotic fluid assessment for the lecithin/sphingomyelin ratio. Which of the following client statements indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a mother who is bottle feeding her newborn with formula. Which of the following statements should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is reinforcing teaching about outpatient resources for a client who is recovering from a molar pregnancy. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

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