The triple marker test is used to assess the fetus for which condition?
1. Down syndrome
2. Diaphragmatic hernia
3. Congenital cardiac abnormality
4. Anencephaly
1
1. Correct. Maternal serum level of alpha-fetoprotein levels are used to screen for Down syn-drome, neural tube defects, and other chromosomal anomalies.
2, 3, 4. Incorrect. The triple marker does not detect these fetal anomalies. Additional testing such as ultrasonography and amniocentesis is required to diagnose them.
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The parents of a child recently diagnosed with a mental illness verbalized their concern about being able to cope with something that is going to affect the rest of their child's life
Which of the following would be an appropriate nursing intervention to add to the plan of care for this family at risk for altered parenting related to recent diagnosis of the child's mental illness? A) Advise parents to discuss their concerns with the social worker. B) Offer to talk with the treatment team about options for residential treatment. C) Encourage parents to spend time with supportive peers. D) Give parents a list of community resources for respite care.
During discharge planning for a drug-dependent newborn, the nurse explains to the mother how to do which of the following?
1. Place the newborn in a prone position. 2. Limit feedings to three a day to decrease diarrhea. 3. Place the infant supine and operate a home apnea-monitoring system. 4. Wean the newborn off the pacifier.
An older client tells the nurse that showers are not taken because of a previous fall. What can the nurse do to support the client's bathing needs?
1. Obtain a shower chair and assist the client in the shower. 2. Document that the client "refused" a morning bath in the medical record. 3. Tell the client that shower shoes can be worn to prevent falls. 4. Hold the client during the shower.
Which criteria must be met to define a water-associated disease outbreak?
A) Two or more people with laboratory-confirmed primary amebic meningoencephalitis B) Two or more cases of chemical poisoning if water quality data indicate contamination by the chemical C) Two or more people having experienced a similar illness after exposure to water D) Epidemiologic evidence implicating drinking water as the probable source of the illness