Which maternal laboratory test needs to be addressed in a client having an amniocentesis?
Rubella titer
Rh factor
Н&Н
Blood type
The Correct Answer is B
A. Rubella titer: Important for determining immunity to rubella, but not directly relevant during amniocentesis.
B. Rh factor: If the mother is Rh-negative and fetal cells enter maternal circulation during amniocentesis, Rh immunoglobulin (RhoGAM) may be required to prevent isoimmunization.
C. Н&Н: (Hemoglobin & Hematocrit) – These tests assess for anemia, which is relevant in pregnancy but not directly required before an amniocentesis.
D. Blood type: Useful general information, but Rh factor specifically needs addressing due to the risk of sensitization.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Nubain
This is another opioid agonist-antagonist and won’t reverse Stadol effects.
B. Fentanyl
Fentanyl is another opioid, not a reversal agent.
C. Narcan (naloxone)
Naloxone reverses respiratory depression from opioids in newborns.
D. Nembutal
A barbiturate, not related to opioid reversal.
Correct Answer is ["A","B","E"]
Explanation
A. Assess FHR
To establish a baseline and detect any pre-existing distress.
B. Ensure an empty bladder
Prevents bladder distention during and after epidural.
C. Give Ephedrine
Only used if hypotension occurs after the epidural, not before.
D. Assess PTT
PTT not routinely required unless there's a bleeding disorder or anticoagulant use.
E. Assess client’s blood pressure
Needed to detect potential hypotension post-procedure.
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