What advice should the nurse provide to a patient who is 4 months ...

[awywial]

What advice should the nurse provide to a patient who is 4 months pregnant and owns a cat?
 
  A) Give it away until after delivery.
  B) Refrain from cleaning the cat's dish.
  C) Be careful that it doesn't scratch the skin.
  D) Ask someone else to change the cat litter.

Question 2

A client's maternal serum alpha-fetoprotein (MSAFP) level was unusually elevated at 17 weeks. The nurse suspects which of the following?
 
  A) Fetal hypoxia
  B) Open spinal defects
  C) Down syndrome
  D) Maternal hypertension

[Cheesycrackers]

Answer to Question 1

D
Feedback:
Toxoplasmosis, a protozoan infection, may be contracted through handling cat stool in soil or cat litter. Removing a cat from the home during pregnancy as a means of prevention is not necessary as long as the cat is healthy. The pregnant woman should be instructed not to change a cat litter box or garden in soil in an area where cats may defecate to avoid exposure to the disease. Cleaning the cat's dish is acceptable. Scratches do not cause the disease.

Answer to Question 2

B
Feedback:
Elevated MSAFP levels are associated with open neural tube defects. Fetal hypoxia would be noted with fetal heart rate tracings and via nonstress and contraction stress testing. MSAFP in conjunction with marker screening tests would be more reliable for detecting Down syndrome. Maternal hypertension would be noted via serial blood pressure monitoring.