A pregnant patient asks why an beta-fetoprotein serum level has been ordered. What should the nurse explain to the patient about this test?
A) It screens for placenta function.
B) It measures the fetal liver function.
C) It may reveal chromosomal abnormalities.
D) It tests the ability of the patient's heart to accommodate the pregnancy.
C
Feedback:
beta-Fetoprotein (AFP) is a substance produced by the fetal liver that can be found in both amniotic fluid and maternal serum. The level is abnormally high if the fetus has an open spinal or abdominal wall defect because the open defect allows more AFP to enter the mother's circulation. Although the reason is unclear, the level is low if the fetus has a chromosomal defect such as Down syndrome. Between 85% and 90% of neural tube anomalies, and 80% of Down syndrome babies can be detected by this method. The beta-fetoprotein level is not used to screen for placenta functioning, measure fetal liver function, or test the ability of the patient's heart to accommodate the pregnancy.
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Before discharging a school-age child being treated for a snake bite, the nurse instruct ways to prevent additional bites in the future. Which statement indicates that teaching provided to this child has been effective?
A) "I should wear long pants when out of doors.". B) "I should look at rocks before touching them.". C) "I should poke a snake with a stick before touching it.". D) "I should spray a snake with water before picking it up.".
Treatment of clients who have any type of eye trauma should include:
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A woman who is 40 weeks pregnant calls the labor suite to ask whether she should be evaluated. Which statements by the patient indicate she is likely in labor? Note: Credit will be given only for all correct choices and no incorrect choices
Select all that apply. 1. "The contractions are 5–20 minutes apart.". 2. "I had pink discharge on the toilet paper.". 3. "I have had cramping for the past 3–4 hours.". 4. "The contractions are about a minute long and I am unable to talk through them.". 5. "The contractions hurt more when I walk.".