The primary reason for evaluating alpha-fetoprotein levels in maternal serum is to determine whether the fetus has:
a. hemophilia.
b. a neural tube defect.
c. sickle cell anemia.
d. a normal lecithin-sphingomyelin ratio.
B
An open neural tube allows a high level of AFP to seep into the amniotic fluid and enter the maternal serum.
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Patients who have aspiration pneumonia present with right lower lobe involvement more often than with involvement of the left lower lobe. You know this is because
a. the left mainstem bronchus angles down more than the right. b. more people are right-side dominant. c. the right mainstem bronchus angles down more than the left. d. the right mainstem bronchus is narrower than the left.
When practicing therapeutic communication with a client, the nurse demonstrates which of the following listening skills?
a. Finishing the client's sentences to indicate listening b. Not clarifying messages to avoid interrupting c. Avoiding taking notes to detract from listening d. Changing the environment to decrease distractions
A patient you meet in a prenatal clinic states that she has a vaginal discharge and asks about douching. Which of the following is a general safe rule regarding douching during pregnancy?
A) Only commercial solutions should be used. B) Routine douching is not advised. C) The solution used never should be acid. D) A room-temperature solution should not be used.
After teaching a group of students about changes in body weight due to aging, the instructor determines that the students have understood the teaching when they state which of the following?
A) Thinning of the vertebral discs leads to weight loss. B) Spinal kyphosis contributes to the increase in body weight. C) An increase in lean body mass leads to weigh gain. D) Loss of muscle tissue contributes to the decrease in weight.