The prenatal clinic nurse meets with a 30-year-old woman who is experiencing her first pregnancy. The patient's quadruple-marker screen result is positive at 17 weeks of gestation
Which action by the nurse is most important?
A.
Call the social worker for a consultation.
B.
Document the findings in the woman's chart.
C.
Facilitate a referral to a genetics counselor.
D.
Prepare the woman for intrauterine death.
ANS: C
Feedback: 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, estradiol, human chorionic gonadotropin, 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 or amniocentesis, should be performed (ACOG, 2007). There is no indication that the woman needs a social work consult or that she will experience intrauterine death. Documentation should be complete, but is not the most important action for the nurse to take.
You might also like to view...
A client diagnosed with cardiomyopathy is being discharged to home. What client statement indicates discharge teaching has been effective?
A) "I will exercise as much as possible, regardless of feeling weak and short of breath." B) "My pants getting tight around the waist, means I'm eating too much and should cut back on food." C) "I will eat foods containing sodium only if drinking water with them." D) "I will see the doctor to discuss implanting a cardiac defibrillator next week."
During a Weber test, a patient is found to have increased hearing in the right ear. The nurse realizes that this finding is consistent with which condition?
1. Normal aging 2. Conductive hearing loss in the left ear 3. Possible buildup of cerumen or otitis media in the right ear 4. Perforated left eardrum
A nurse is teaching an older adult at home about taking newly prescribed medications. Which of the following would be included?
A) "You can identify your medications by their color." B) "I have written the names of your drugs with times to take them." C) "You won't forget a medication if you count them every day." D) "Don't worry if the label comes off; just look at the shapes."
A client is having diagnostic tests to determine the cause of anemia. The nurse realizes that these tests will focus on which of the following? (Select all that apply.)
1. Presence of bleeding 2. Fluid balance 3. Disorders that cause red blood cell destruction 4. Cardiac functioning 5. Disorders that reduce the production of red blood cells 6. Digestion