The pregnancy test for a 15-year-old female is positive. Which test(s) are NOT usually performed during the first trimester of pregnancy?
Blood type, Rh, and antibody screens
Screening for STDS
A purified protein derivative (PPD)
Alpha-fetoprotein (AFP)
The Correct Answer is D
Rationale:
A. Blood type, Rh factor, and antibody screens are routinely performed in the first trimester to identify potential incompatibilities and plan appropriate management.
B. Screening for STDs, including HIV, syphilis, chlamydia, and gonorrhea, is recommended early in pregnancy to ensure maternal and fetal health.
C. A purified protein derivative (PPD) test for tuberculosis may be performed in the first trimester if the patient is at risk.
D. Alpha-fetoprotein (AFP) screening is typically performed during the second trimester (around 15–20 weeks gestation) to assess for neural tube defects and other fetal abnormalities. It is not a routine first-trimester test.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Hypocalcemia in infants typically presents with tremors, jitteriness, positive Chvostek or Trousseau signs, and seizures, rather than a shrill cry.
B. A shrill or high-pitched cry is a classic neurologic sign that may indicate increased intracranial pressure (ICP) or central nervous system irritation. Additional signs may include lethargy, irritability, vomiting, and bulging fontanel.
C. Upper airway obstruction usually produces stridor, noisy breathing, or retractions, but not a shrill cry.
D. Vocal cord paralysis may cause a weak, hoarse, or breathy cry, not the high-pitched, shrill cry associated with neurologic issues.
Correct Answer is D
Explanation
Rationale:
A. Condyloma acuminata (genital warts) in a child older than 3 years may indicate sexual abuse.
B. Bruising of the labia is a concerning sign for sexual abuse and warrants further evaluation.
C. Herpes simplex virus infection in the anogenital area beyond the neonatal period is also suspicious for sexual abuse.
D. Labial adhesions are a common, benign condition in prepubertal girls and are not indicative of sexual abuse.
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