Each of the following pregnant women is scheduled for a 14-week antepartal visit. In planning care, the nurse would give priority teaching on amniotic fluid alpha-fetoprotein (AFP) screening to which client?
1. 28-year-old with history of rheumatic heart disease
2. 18-year-old with exposure to HIV
3. 20-year-old with a history of preterm labor
4. 35-year-old with a child with spina bifida
4
Rationale:
1. The client with rheumatic heart disease would need to be monitored for pregnancy and the stressors it places on the client.
2. The client with HIV screening needs HIV testing and protection education.
3. The client with a history of preterm labor needs education on prevention and signs and symptoms of preterm labor.
4. Alpha-fetoprotein (AFP) is elevated in multigestational pregnancies and in pregnancies with neural tube defects such as spina bifida and Down syndrome. The 35-year-old is considered to be of advanced maternal age, and is at risk for having a child with Down syndrome. With the history of a child with spina bifida, she would be highly encouraged to have the AFP screening.
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When a finding is statistically reliable, it means which of the following?
A) The finding is very important B) The same results are likely to occur with a new sample of subjects C) The researcher's hypothesis is correct D) Changes in nursing procedures are needed
A 97-year-old patient is admitted to the medical unit with a productive cough and bi-lateral congestion and is reporting weakness. His vital signs are 106/78, 82, 24, and a temperature of 97 degrees F. (oral). When told that it is suspected that he has pn
a. the temperature needs to be taken tympanically b. in a 97-year-old, a temperature of 97 degrees F. is considered febrile c. a lack of fever cannot be used to rule out an infection in older adults d. oral temperatures are always inaccurate in older adults
The nurse understands that the purpose of accurate documentation of the care of intravenous access devices is to: Select all that apply
1. Describe the care rendered. 2. Describe the client's response. 3. Allow for tracking outcomes. 4. Prevent injury to the client. 5. Inform the physician of the procedure.
When reporting a routine prenatal visit with no complications, a code from category Z34 should be the first listed diagnosis
a. true b. false