Nokea
Choose appropriate client teaching related to maternal serum alpha-fetoprotein (MSAFP) analysis.
- A. Abnormal MSAFP levels should be followed by more specific tests.
- B. High MSAFP levels are usually associated with chromosome abnormalities.
- C. Having MSAFP testing eliminates the need to perform an ultrasound examination.
- D. The initial MSAFP testing will be performed at 12 weeks of gestation.
Correct Answer: A
Rationale: Abnormal MSAFP levels require further investigation with more specific tests.
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What is the purpose of cell-free DNA screening done in the first trimester?
- A. to determining the gender of the fetus
- B. to check for multiple fetuses
- C. to assess the risk of chromosomal abnormalities in the fetus
- D. to measure the growth and development of the fetus
Correct Answer: C
Rationale: Cell-free DNA is used to assess the risk of chromosomal abnormalities. It does not determine gender or measure growth and development.
The nurse is counseling a female patient diagnosed with anovulation as a cause of infertility. Which information does the nurse provide to the patient? Select all that apply.
- A. Methods for dietary planning
- B. Consultation for myomectomy
- C. Refrain from unprotected sex
- D. Surgical correction of fallopian tubes
Correct Answer: A
Rationale: Methods for dietary planning and clomiphene citrate instructions are crucial for managing anovulation. The other options are unrelated or less effective for this condition.
Along with gas exchange and nutrient transfer, the placenta produces many hormones necessary for normal pregnancy, including which of the following? (Select all that apply.)
- A. Insulin
- B. Estrogen
- C. Progesterone
- D. Testosterone
Correct Answer: B
Rationale: - Estrogen: The placenta secretes estrogen during pregnancy, which plays a crucial role in maintaining the pregnancy and preparing the body for childbirth. Estrogen helps regulate the menstrual cycle, supports fetal development, and stimulates the growth of the uterus and breasts.
The most basic information a maternity nurse should have concerning conception is that:
- A. Ova are considered fertile 48 to 72 hours after ovulation.
- B. Sperm remain viable in the woman's reproductive system for an average of 12 to 24 hours.
- C. Conception is achieved when a sperm successfully penetrates the membrane surrounding the ovum.
- D. Implantation in the endometrium occurs 6 to 10 days after conception.
Correct Answer: D
Rationale: After implantation, the endometrium is called the decidua.
What medication would the nurse include in the discharge teaching for a patient after an egg retrieval?
- A. birth control pills
- B. follitropin
- C. estrogen supplementation
- D. ganirelix acetate
Correct Answer: C
Rationale: Estrogen supplementation is often prescribed after egg retrieval to support the endometrial lining for embryo transfer.