Nokea
A 34-year-old patient who is 16 weeks pregnant had a multiple markers screening done. The results came back with an increased risk for trisomy 21. You call the patient to go over the results. How should you respond when the patient asks you if the baby is going to have Down syndrome?
- A. Yes, would you like to continue or terminate your pregnancy?
- B. This screening predicts only the risk of your baby having Down syndrome and cannot diagnose it. Additional testing is needed to determine this.
- C. You will need to discuss this with your provider at your next appointment.
- D. Yes, this test shows your baby has Down syndrome. I’d be happy to send you resources about this condition so that you can be prepared for when your baby is born.
Correct Answer: B
Rationale: Screening tests like multiple marker tests indicate risk but do not confirm a diagnosis. Further tests are needed to determine if the baby has Down syndrome.
You may also like to solve these questions
What hormone stimulates ovulation?
- A. None
- B. Luteinizing hormone (LH).
- C. None
- D. None
Correct Answer: B
Rationale: LH surge triggers ovulation.
The nurse caring for a pregnant patient knows that her health teaching regarding fetal circulation has been effective when the patient reports that she has been sleeping:
- A. In a side-lying position.
- B. On her back with a pillow under her knees.
- C. With the head of the bed elevated.
- D. On her abdomen.
Correct Answer: A
Rationale: Optimal circulation is achieved when the woman is lying at rest on her side.
An infertile couple voices concern to the nurse about assisted reproductive technologies (ART). The nurse agrees that ART has created numerous dilemmas. Which potential questions does the nurse discuss with the couple? Select all that apply.
- A. Which partner has ownership of the embryos?
- B. Should a child be told about donors or surrogates?
- C. Are there parental rights for sperm donors?
- D. Does a fertility donor have financial obligations?
Correct Answer: D
Rationale: Ownership of embryos, informing children about donors, parental rights, and the fate of surplus embryos are all dilemmas associated with ART. Financial obligations of fertility donors may vary and are not commonly emphasized in counseling.
What is the purpose of carrier screening in the first trimester?
- A. to check the positioning of the fetus
- B. to assess for chromosomal abnormalities in the fetus
- C. to measure the heart rate of the fetus
- D. to identify potential genetic disorders that parents may carry
Correct Answer: D
Rationale: Carrier screening identifies genetic disorders parents may carry, which can affect the baby. It does not check positioning, heart rate, or chromosomal abnormalities directly.
Where should a pregnant person at 34 weeks with preeclampsia deliver?
- A. Level I hospital
- B. Level II hospital
- C. home
- D. in-hospital birthing center
Correct Answer: B
Rationale: Level II hospitals are equipped to manage preeclampsia at 34 weeks. Home or Level I hospitals lack necessary resources.