The primary reason for evaluating AFP 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.
Hemophilia is a genetic defect and is best detected with chromosomal studies such as cho-rionic villus sampling or amniocentesis.
Sickle cell anemia is a genetic defect and is best detected with chromosomal studies such as chorionic villus sampling or amniocentesis.
L/S ratios are determined with an amniocentesis and is usually done in the third trimester.
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When performing an assessment that focuses on a set of standardized connections to graphically record basic information about family members and their relationships over three generations, the nurse uses
a. an ecomap. b. a gendergram. c. family time lines. d. a genogram.
The major impact of the physiological changes that occur with aging is
A. Reduced physiological reserve B. Reduced homeostatic mechanisms C. Impaired immunological response D. All of the above
The client's resuscitation lasts 30 minutes. The client's ECG shows ventricular fibrillation and the client has no pulse or blood pressure. Which does the nurse use to determine when this code should end?
1. According to the nursing unit policy 2. After 30 minutes of unresponsiveness 3. When instructed by the provider to stop 4. After futile results from vasoactive drugs
Your client is a Muslim. You must be aware of which spiritual need when caring for your client?
1. having pictures of saints or angels in his or her room for spiritual comfort 2. eating peyote to enhance communication with God 3. daily prayer time at sunrise, noon, mid-afternoon, sunset, and bedtime 4. desire for communion or anointing for healing