The clinic nurse meets with Rebecca, a 30-year-old woman who is experiencing her first pregnancy. Rebecca's quadruple marker screen result is positive at 17 weeks' gestation. The nurse explains that Rebecca needs a referral to:
a. A genetics counselor/specialist
b. An obstetrician
c. A gynecologist
d. A social worker
ANS: a
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a. All women should be offered screening with maternal serum markers. The Triple Marker screen and the Quadruple Marker screen test for the presence of alpha-fetoprotein (AFP), estradiol, human chorionic gonadotropin (hCG), and other markers. These tests screen for potential neural tube defects, Down syndrome, and Trisomy 18. If the screen is positive, the woman should be referred to a genetics specialist for counseling, and further testing, such as chorionic villus sampling (CVS) or amniocentesis, should be performed.
b. If genetic screening is positive, the woman should be referred to a genetics specialist for counseling, and further testing, such as chorionic villus sampling (CVS) or amniocentesis, should be performed.
c. If genetic screening is positive, the woman should be referred to a genetics specialist for counseling, and further testing, such as chorionic villus sampling (CVS) or amniocentesis, should be performed.
d. If genetic screening is positive, the woman should be referred to a genetics specialist for counseling, and further testing, such as chorionic villus sampling (CVS) or amniocentesis, should be performed.
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The nurse recognizes that this child might have: 1. Rubeola (measles). 2. German measles (rubella). 3. Chickenpox (varicella). 4. Fifth disease (erythema infectiosum).
The nurse should measure rectal temperatures in which of these patients?
a. School-age child b. Older adult c. Comatose adult d. Patient receiving oxygen by nasal cannula
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a. Clothes should be laundered separately with hot water. b. Personal items and drinking glasses should not be shared. c. Articles soiled with feces do not require extra care. d. Hands need to be thoroughly washed after toileting. e. Contaminated items may be disposed of with regular trash.
The five stages of listening can be described as
A. Hearing, attending, understanding, remembering, responding B. Hearing, thinking, understanding, reflecting, responding C. Hearing, attending, arguing, fact-finding, responding D. Attending, understanding, remembering, responding, forgetting