A woman who is 15 weeks' gestation received normal chorionic villus sampling (CVS) results and abnormal quadruple screen test results. For detection of congenital anomalies, which test should the nurse expect the woman to be offered next?
1. Amniocentesis
2. Ultrasound
3. Contraction Stress Test (CST)
4. Nonstress test (NST)
Correct Answer: 1
Rationale 1: Women who have a normal CVS and an abnormal quadruple screen test would be offered amniocentesis to screen for congenital anomalies.
Rationale 2: While ultrasound has many uses, is not useful in the diagnosis of congenital anomalies.
Rationale 3: The contraction stress test is used to assess fetal status.
Rationale 4: The nonstress test is used to assess fetal status.
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When teaching a client receiving metaproterenol, the nurse should include information about which of the following adverse effects of this medication?
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