Which statement made by a pregnant patient indicates teaching was effective related to an elevated alpha fetoprotein (AFP) level?

The elevated AFP means may baby may have Down Syndrome

The elevated AFP means my baby may have spina bifida

The elevated AFP means my baby has Down syndrome

The elevated APR means my baby has spina bifida

Answer and Explanation

The Correct Answer is B

A. The elevated AFP means my baby may have Down Syndrome. AFP is not typically elevated in Down Syndrome; other tests like nuchal translucency or cell-free DNA are used for that.
B. The elevated AFP means my baby may have spina bifida. AFP screening is used to detect neural tube defects like spina bifida. An elevated AFP level suggests a higher risk for such conditions.
C. The elevated AFP means my baby has Down syndrome. This is incorrect; AFP is not a marker for Down Syndrome.
D. The elevated AFP means my baby has spina bifida. This is correct, but option B is a more precise statement of understanding.

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Correct Answer is A

Explanation

A. Call the child abuse hotline. A spiral fracture, especially in a non-ambulatory infant, is highly suspicious for non-accidental trauma (child abuse). Reporting suspected abuse is mandatory to protect the child from further harm.
B. Educate the mother on safety. While important for prevention, addressing potential abuse takes precedence.
C. Inform the mother to call the nurse for all diaper changes. This does not address the immediate concern of suspected child abuse.
D. Complete the Morse Fall Scale. This is irrelevant in the context of suspected child abuse.

Correct Answer is ["0.3"]

Explanation

Convert weight from pounds to kilograms:

19pounds÷2.2=8.64kg

Calculate the total daily dose:

0.07mg/kg/day×8.64kg=0.6048mg/day

Divide the daily dose into two doses:

0.6048mg/day÷2=0.3024mg/dose

Round off the dose to two decimal places:

0.3024mg≈0.30mg

The maximum amount of medication per dose is 0.3 mg.

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Which statement made by a pregnant patient indicates teaching was effective related to an elevated alpha fetoprotein (AFP) level?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A newborn is admitted with a diagnosis of a spiral fracture of the right femur. The mother states the child received the injury when the baby fell off the changing table. Which would be the priority nursing intervention?

Correct Answer is A

Explanation

A child with a heart defect is placed on a maintenance dose of Lanoxin elixir. The ordered dose is 0.07mg/kg/day in 2 divided doses. The child weighs 19 pounds. What is the maximum amount of medication that will be given per dose by the nurse?

Correct Answer is ["0.3"]

Explanation

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