Which clinical conditions are associated with increased levels of alpha fetoprotein (AFP)? (Select all that apply.)
a. Down syndrome
b. Molar pregnancy
c. Twin gestation
d. Incorrect gestational age assessment of a normal fetus—estimation is earlier in the pregnancy
e. Threatened abortion
ANS: C, D, E
Elevated APF levels are seen in multiple gestations, underestimation of fetal age, and threatened abortion. Decreased levels are seen in Down syndrome and a molar pregnancy.
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An 85-year-old patient is administered an antiemetic agent. Which of the following is an important nursing intervention?
A) Force fluids with this patient B) Have the patient void after administration C) Maintain IV access D) Protect from injury
The mother of a 10-year-old boy asks the nurse to discuss the recognition of puberty. The nurse should reply by saying:
a. "Puberty usually begins around 15 years of age." b. "The first sign of puberty is an enlargement of the testes." c. "The penis size does not increase until about 16 years of age." d. "The development of pubic hair precedes testicular or penis enlargement."
Any individual taking phenobarbital for a seizure disorder should be taught
A) to brush his or her teeth four times a day. B) never to discontinue the drug abruptly. C) never to go swimming. D) to avoid foods containing caffeine.
In which nursing care model is the RN usually appointed the position of group leader?
a. Total patient care b. Primary nursing c. Team nursing d. Case management