An 18-year-old pregnant client asks the nurse the purpose of the maternal serum alpha-fetoprotein (MSAFP) test. What is the nurse's response?

It tests the ability of her heart to accommodate the pregnancy

It measures fetal liver function

It is a screening test for neural tube defects

It is a screening test for placental function

Answer and Explanation

The Correct Answer is C

A. It tests the ability of her heart to accommodate the pregnancy: Cardiac assessment is typically done through means like physical examination, ECG, or echocardiogram if indicated. The (MSAFP) test is used for screening purposes related to fetal development.

B. It measures fetal liver function: MSAFP is not used to assess fetal liver function. It measures the levels of alpha-fetoprotein in the maternal blood, which can indicate potential risks related to the fetal development, particularly neural tube defects.

C. It is a screening test for neural tube defects: The MSAFP test is primarily a screening tool for neural tube defects, such as spina bifida and anencephaly, in the fetus. Abnormal levels of AFP can indicate an increased risk of these conditions.

D. It is a screening test for placental function: The MSAFP test does not evaluate placental function. It is focused on detecting potential developmental issues in the fetus, such as neural tube defects.

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Correct Answer is B

Explanation

A. On the stomach with a pillow under her breasts: Sleeping on the stomach is not recommended during pregnancy as it becomes increasingly uncomfortable and impractical as pregnancy advances due to the growing uterus.

B. On the side with the weight of the uterus on the bed: This is the recommended position for pregnant women, especially in the second and third trimesters. Sleeping on the left side is particularly beneficial as it improves blood circulation, reduces pressure on the vena, and promotes better blood flow to the placenta and fetus.

C. On the back with a pillow under the knees and hips: Sleeping on the back is generally not recommended after the first trimester because the weight of the uterus can compress the major blood vessels, such as the inferior vena cava, reducing blood flow to the fetus.

D. On the back with a pillow under the head: While this position may be comfortable, sleeping on the back during pregnancy can lead to reduced blood flow to the fetus, especially in the later stages of pregnancy, and is generally not recommended. The side position is preferred.

A. The infant will need future follow-up for a "nervous" bowel B. Symptoms will decrease if the infant is laid on the back after feedings C. Formula intake should be doubled to keep the infant from losing weight D. Colic symptoms will probably fade at 3 months of age

Correct Answer is D

Explanation

A. The infant will need future follow-up for a "nervous" bowel: Colic is not typically associated with a "nervous" bowel. It is marked by excessive crying and discomfort, often with no underlying gastrointestinal issues. No long-term follow-up for a "nervous" bowel is required.

B. Symptoms will decrease if the infant is laid on the back after feedings: The infant should be placed on their back to sleep to reduce the risk of SIDS, but this is not linked to reducing colic symptoms. Colic is associated factors such as digestive discomfort or overstimulation.

C. Formula intake should be doubled to keep the infant from losing weight: Doubling the formula intake is not recommended for managing colic. Overfeeding can worsen discomfort and lead to other issues like reflux. Colic does not typically result in significant weight loss if the infant is feeding appropriately.

D. Colic symptoms will probably fade at 3 months of age: Colic typically peaks around 6 to 8 weeks of age and begins to decrease by 3 to 4 months of age. Most infants outgrow the condition by this time, and the symptoms usually resolve on their own.

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An 18-year-old pregnant client asks the nurse the purpose of the maternal serum alpha-fetoprotein (MSAFP) test. What is the nurse's response?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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