Scenario:
A nurse is caring for a 27-year-old female client in the clinic who is presumptively pregnant.

Exhibits

The nurse reviews the client's laboratory results. The nurse understands that the client is most likely experiencing which condition? Select all that apply.

Chlamydia

Pre-eclampsia

Gonorrhea

Pyelonephritis

Answer and Explanation

Correct Answer : A,C,D

Choice B rationale: Pre-eclampsia is characterized by high blood pressure and protein in the urine after 20 weeks of pregnancy. The client's urine protein is negative, and she is only presumptively pregnant at this stage, making pre-eclampsia unlikely.

Choice C rationale: The detection of Gonorrhea in the client's urine sample indicates an active infection. Gonorrhea is a sexually transmitted infection that can cause symptoms such as vaginal discharge, burning with urination, and increased urinary frequency, which the client is experiencing.

Choice D rationale: Pyelonephritis, a severe urinary tract infection, is indicated by the presence of many bacteria and positive nitrites in the urine, along with symptoms like fever and flank pain. The client’s urine test results and symptoms suggest pyelonephritis.

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Correct Answer is B

Explanation

Choice A rationale

Fasting for 8 hours before the AFP test is not required. This misinformation might cause unnecessary patient anxiety. Understanding test protocols helps in providing accurate and reassuring patient education, reducing pre-test stress.

Choice B rationale

AFP test is a screening tool to identify potential anomalies such as neural tube defects or chromosomal abnormalities. It does not provide a definitive diagnosis but indicates if further diagnostic testing is warranted for confirming anomalies.

Choice C rationale

Absence of chronic illnesses does not guarantee normal AFP test results. This statement is misleading, as AFP levels can be affected by a variety of factors, including gestational age and fetal conditions, requiring comprehensive analysis.

Choice D rationale

Bed rest is not necessary after an AFP test. This misinformation may cause unnecessary concern or inconvenience for the patient. Proper understanding of post-test care helps in providing correct patient instructions and alleviating fears.

A. Sexually transmitted infections. B. Glucose. C. Ketones. D. Testosterone levels.

Correct Answer is D

Explanation

Choice A rationale

Clean catch urine specimens are not used to test for sexually transmitted infections as these require specific culture tests or nucleic acid amplification tests for accurate detection.

Choice B rationale

Glucose testing in urine helps monitor gestational diabetes or potential diabetes mellitus in pregnant clients. Normal urine glucose levels are typically negligible.

Choice C rationale

Ketones in urine indicate fat metabolism, which can occur during fasting or inadequate carbohydrate intake, and are relevant in the management of diabetic patients.

Choice D rationale

Clean catch urine specimens do not test for testosterone levels, which require serum measurements. Prenatal urine tests focus on glucose, protein, and signs of infection.

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Scenario: A nurse is caring for a 27-year-old female client in the clinic who is presumptively pregnant. Exhibits The nurse reviews the client's laboratory results. The nurse understands that the client is most likely experiencing which condition? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who is scheduled for an alpha-fetoprotein (AFP) test. Which of the following statements should the nurse include?

Correct Answer is B

Explanation

At the initial prenatal visit, and often the subsequent visits, the health care provider will obtain a clean catch urine specimen to look for all of the following, except:

Correct Answer is D

Explanation

A nurse is caring for a client during an initial prenatal visit. The client’s last menstrual period was 18 weeks ago. Which of the following actions should the nurse plan to take?

The nurse is scheduling a hysterosalpingogram test for a patient. When planning the test, which of the following information from the patient’s history will be needed?

Which statement below accurately describes the role of the ductus arteriosus?

A nurse in a prenatal clinic is completing a skin assessment of a client who is in the second trimester. Which of the following findings should the nurse expect?

A 16-year-old client at 18 weeks gestation with a normal BMI expresses concern about weight gain during pregnancy. The client wants to know how to avoid gaining too much weight. What is an appropriate response from the nurse?

The nurse is interviewing a client who is pregnant in her first trimester, and the client inquires about their gestational age. The nurse understands which assessment will provide the most accurate gestational age?

The nurse reviews a client’s antepartum nonstress test results as reactive. The nurse interprets this finding as:

Scenario:
A nurse is caring for a 27-year-old female client in the clinic who is presumptively pregnant.

Exhibits

The nurse reviews the client's laboratory results. The nurse understands that the client is most likely experiencing which condition? Select all that apply.