A pregnant client who has had a prior obstetric history of preterm labors is pregnant with her third child. The physician has ordered an fFN (fetal fibronectin) test. Which instructions should be given to the client related to this clinical test?
a. Client must be NPO prior to testing.
b. Blood work will be drawn every week to help confirm the start of preterm labor.
c. Client should refrain from sexual activity prior to testing.
d. A urine specimen will be collected for testing.
ANS: C
Fetal fibronectin testing has a predictive value relative to the onset of preterm labor. A specimen is collected from the vaginal area. False-positive results can occur in response to excessive cervical manipulation, in the presence of bleeding, and as a result of sexual activity.
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