A nurse is reinforcing teaching with a client about laboratory testing during pregnancy. Which of the following statements should the nurse include in the teaching?
- A. A Papanicolaou test will be performed to detect the presence of herpes simplex type 1.
- B. A group B streptococcus screening will be performed to determine the presence of STs.
- C. A multiple marker screening will be performed to identify neural tube defects.
- D. A glucose tolerance test will be performed to predict hyperglycemia in your baby
Correct Answer: C
Rationale: Multiple marker screening, also known as maternal serum screening or quad screen, is a routine prenatal test performed between 15 and 20 weeks of gestation. It helps identify the risk of certain chromosomal abnormalities, including neural tube defects like spina bifida and anencephaly.
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A nurse is reinforcing teaching with a client who is at 10 weeks of gestation regarding the purposes of laboratory tests.
Which of the following statements by the client indicates an understanding of the teaching?
- A. White blood cell count is an indicator of anemia.
- B. Urine specific gravity identifies my risk for pregnancy induced hypertension.
- C. Platelet count identifies if I am at risk for bleeding.
- D. Sedimentation rate checks for signs of cancer.
Correct Answer: C
Rationale: Platelet count measures the number of platelets in the blood, essential for clotting. A low count can indicate an increased risk of bleeding, relevant in pregnancy, showing the client understands the test's purpose.
A nurse is reinforcing teaching with a client who is pregnant and does not consume dairy products.
Which of the following food options should the nurse recommend as the best source of dietary calcium?
- A. 1 cup kale
- B. 1 baked potato
- C. 1 large banana
- D. 1 cup sweet white corn
Correct Answer: A
Rationale: Kale is an excellent non-dairy source of calcium, providing approximately 90 mg per cup when cooked. It's a suitable option for pregnant women who avoid dairy to meet their calcium needs.
A nurse is reviewing the facility protocol about newborn identification and safety with a new parent. Which of the following information should the nurse include?
- A. You should check the identity of individuals who come to remove your baby from the room
- B. We will scan your baby's identification bracelet each time check on him
- C. We will match the bracelet on your baby with his footprint record each shift
- D. Your baby will wear an electronic bracelet when he is out of your room
Correct Answer: A
Rationale: It's crucial for parents to verify the identity of anyone who comes to take their baby out of the room. This helps ensure the baby's safety and prevents unauthorized individuals from taking the baby. Hospital staff usually wear identification badges, and parents should be encouraged to ask for and verify this identification.
A nurse is collecting data from a client who has hyperemesis gravidarum.
Which of the following findings should the nurse anticipate?
- A. Increased fundal height
- B. Poor skin turgor
- C. Decreased pulse rate
- D. Proteinuria
Correct Answer: B
Rationale: Poor skin turgor is a common finding in clients with hyperemesis gravidarum due to dehydration. Excessive vomiting leads to fluid loss and dehydration, resulting in poor skin elasticity and turgor.
A nurse is reinforcing discharge instructions about breastfeeding with a client. Which of the following statements should the nurse make?
- A. You should recognize that your baby sucking on his hands is a hunger cue.
- B. You should feed your baby for 10 minutes on each breast.
- C. You should feed your baby six times a day.
- D. You should wake your baby at least every 6 hours at night for feedings.
Correct Answer: A
Rationale: Recognizing that sucking on hands is a hunger cue helps ensure timely feeding, supporting a successful breastfeeding routine and adequate nutrition for the baby.
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