The nurse is assessing a pregnant client in the antepartum clinic. Which screening test to detect certain birth defect and genetic conditions would the client be scheduled for at 14-15 weeks gestation?
Glucose challenge test
Amniocentesis
Alpha Fetal Protein (AFP)
Group beta streptococcus
The Correct Answer is C
A. Glucose challenge test: Done at 24–28 weeks to screen for gestational diabetes.
B. Amniocentesis: Can be done around 15–20 weeks but is more invasive and not routine for all clients.
C. Alpha Fetal Protein (AFP): AFP screening occurs around 14–18 weeks to assess risk for neural tube defects and chromosomal anomalies.
D. Group beta streptococcus: Screened at 35–37 weeks.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. 1 mg:
1 mg = 1000 mcg, which is more than the prescribed 400 mcg.
B. 2 tablets:
Each tablet is 200 mcg; 2 tablets = 400 mcg, which meets the daily requirement.
C. 4 tablets:
Equals 800 mcg, which is double the prescribed dose.
D. 5 mg:
5 mg = 5000 mcg - far exceeds the recommended 400 mcg, unless there's a high-risk indication.
Correct Answer is D
Explanation
A. Contact the social worker:
May be necessary later, but not before establishing rapport and trust.
B. Schedule the client for pre-natal classes:
Important, but the nurse must first build trust to engage the teen in care.
C. Teach the client about proper nutrition:
Education is key, but only effective after trust is built.
D. Develop a trusting relationship:
Teen clients need support, respect, and trust to engage in prenatal care and disclose concerns.
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