Question 71.
A nurse is caring for a client who has gestational diabetes and is scheduled for an amniocentesis at 37 weeks of gestation due to suspected fetal compromise.

What is the nurse’s best response to the client’s question as to why the amniocentesis test is being done?.

“To determine fetal lung maturity.”.

“To assess the degree of fetal renal function.”.

“To test the amniotic fluid glucose level.”.

“To detect the presence of fetal congenital anomalies.”.

Answer and Explanation

The Correct Answer is A

The correct answer is choice A. “To determine fetal lung maturity.” An amniocentesis at 37 weeks of gestation can be done to measure the lecithin/sphingomyelin (L/S) ratio in the amniotic fluid, which indicates the level of surfactant production and the readiness of the fetal lungs for breathing. A low L/S ratio can indicate fetal compromise due to gestational diabetes.

Choice B is wrong because fetal renal function is not assessed by amniocentesis, but by ultrasound or biophysical profile.

Choice C is wrong because amniotic fluid glucose level is not a reliable indicator of fetal well-being or gestational diabetes control.

Choice D is wrong because congenital anomalies are usually detected earlier in pregnancy by ultrasound, maternal serum screening, or chorionic villus sampling.

Normal ranges for L/S ratio are 2:1 or higher for term fetuses and 1.5:1 or higher for preterm fetuses.

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Correct Answer is C

Explanation

The correct answer is choice C. Remind the patient that the nurse will stay with her during the examination.

This measure would help reduce the patient’s anxiety by providing emotional support and reassurance.

The patient may feel scared, embarrassed, or vulnerable during the pelvic examination, especially since she is young and pregnant.

Having a trusted person with her can help her cope with these feelings.

Choice A is wrong because it may imply that the examination will be painful and increase the patient’s anxiety.

Choice B is wrong because it may make the patient feel like she is not being treated as an individual and that her concerns are not valid.

Choice D is wrong because it may make the patient feel rushed or pressured and not allow her to ask questions or express her feelings.

A. “Instead of having eggs, I am eating yogurt for breakfast.”. B. “I’m adding some powdered milk to the skim milk I drink.”. C. “I’ve been having some peanut butter on my crackers every afternoon.”. D. “Instead of having some grapes for a snack, I’m having a cup of cream of tomato soup.”.

Correct Answer is A

Explanation

he correct answer is choice A. “Instead of having eggs, I am eating yogurt for breakfast.” This statement shows a need for further instruction because eggs are a good source of protein and yogurt is not.

Yogurt is a dairy product that contains mostly carbohydrates and some fat.

Eggs are an animal product that contains mostly protein and some fat.

Protein is important for building and repairing tissues in the body.

Choice B is correct because adding powdered milk to skim milk increases the protein content of the drink.

Powdered milk is a dairy product that contains protein, carbohydrates and fat.

Skim milk is a dairy product that contains protein and carbohydrates but no fat.

Choice C is correct because peanut butter is a good source of protein and healthy fats.

Peanut butter is a plant product that contains protein, fat and some carbohydrates.

Crackers are a grain product that contains mostly carbohydrates and some protein.

Choice D is correct because cream of tomato soup is a good source of protein and calories.

Cream of tomato soup is a processed food that contains tomatoes, cream, flour and seasonings.

Tomatoes are a vegetable that contains mostly water and some carbohydrates.

Cream is a dairy product that contains mostly fat and some protein.

Flour is a grain product that contains mostly carbohydrates and some protein.

Seasonings are herbs and spices that contain mostly flavor and some nutrients.

The normal range of protein intake for adults is 0.8 to 1 gram per kilogram of body weight per day.

This means that an adult who weighs 70 kilograms should consume about 56 to 70 grams of protein per day.

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Question 71. A nurse is caring for a client who has gestational diabetes and is scheduled for an amniocentesis at 37 weeks of gestation due to suspected fetal compromise.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 14-year-old patient visits the antepartal clinic because she has missed three menstrual periods.The patient is to have a pelvic examination. In addition to explaining the procedure, which measure would best help reduce the patient’s anxiety?

Correct Answer is C

Explanation

A patient has been instructed to increase the protein in her diet. Which statement by the patient shows a need for further instruction?

Correct Answer is A

Explanation

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Question 71.
A nurse is caring for a client who has gestational diabetes and is scheduled for an amniocentesis at 37 weeks of gestation due to suspected fetal compromise.