The nurse is working in a prenatal clinic. The first patient is a 21 yo. who is 12 weeks pregnant having her first baby. During the history the nurse discovers that she has a cat at home, and she is not stable relationship. She states she has had multiple partners and is uncertain who is the father of her baby. This is her first prenatal visit and she has lab work done. While all lab results are important the nurse will look closely at which of the following results based upon this history? (Select all that apply. Partial Credit will be given).
Glucose Tolerance Test
HIV
Urine glucose
Rubella Titer
Toxoplasmosis screen
Vaginal cultures for STD's
Maternal Serum Fetal Alphaprotein
Correct Answer : B,E,F
A. The Glucose Tolerance Test is usually performed later in pregnancy (around 24-28 weeks) to screen for gestational diabetes, so it is not a primary concern at 12 weeks.
B. Given the patient's history of multiple partners and uncertainty about the father, HIV screening is important to prevent mother-to-child transmission and provide early treatment.
C. Urine glucose is typically monitored later in pregnancy for gestational diabetes, but it is not immediately prioritized based on this history.
D. The Rubella Titer is important, but it is less immediately critical than HIV, STDs, or toxoplasmosis, given the patient’s risks.
E. Toxoplasmosis screening is necessary because handling cat litter can expose the mother to the risk of toxoplasmosis, which can harm the fetus.
F. Vaginal cultures for STDs are important given the patient’s multiple partners, as untreated STDs can lead to complications like preterm birth or neonatal infections.
G. Maternal Serum Fetal Alphaprotein is typically used for screening for neural tube defects later in pregnancy and is not an immediate concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
A. Turning the patient to her side can improve placental blood flow and alleviate pressure on the umbilical cord, which is often the cause of late decelerations.
B. Providing oxygen can help improve oxygenation to the fetus, especially if the decelerations are due to uteroplacental insufficiency.
C. Notifying the healthcare provider is essential to address the situation promptly and determine whether further interventions or a change in labor management is necessary.
D. Stopping oxytocin can reduce uterine contractions and prevent further stress on the fetus, especially if the late decelerations are linked to uterine hyperstimulation.
Correct Answer is B
Explanation
A. 2300 calories is insufficient for breastfeeding. An additional 500 calories is needed for milk production.
B. The recommended caloric intake for breastfeeding women is typically an additional 500 calories per day above their pre-pregnancy caloric intake. So, for this woman, it would be 2500 calories (2000 + 500).
C. 2750 calories is more than the typical recommendation.
D. 3000 calories is higher than the typical recommendation for most breastfeeding women.
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