Author Question: Which clinical conditions are associated with increased levels of alpha fetoprotein (AFP)? (Select ... (Read 34 times)

RODY.ELKHALIL · **on:** Jun 28, 2018

Which clinical conditions are associated with increased levels of alpha fetoprotein (AFP)? (Select all that apply.)

a. Down syndrome
b. Molar pregnancy
c. Twin gestation
d. Incorrect gestational age assessment of a normal fetusestimation is earlier in the pregnancy
e. Threatened abortion

Question 2

A patient at 36 weeks gestation is undergoing a nonstress (NST) test.

The nurse observes the fetal heart rate baseline at 135 beats per minute (bpm) and four nonepisodic patterns of the fetal heart rate reaching 160 bpm for periods of 20 to 25 seconds each. How will the nurse record these findings?

a. NST positive, nonreassuring
b. NST negative, reassuring
c. NST reactive, reassuring
d. NST nonreactive, nonreassuring

Anonymous · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C, D, E
Elevated APF levels are seen in multiple gestations, underestimation of fetal age, and threatened abortion. Decreased levels are seen in Down syndrome and a molar pregnancy.

Answer to Question 2

ANS: C
The presence of at least three accelerations of at least 15 beats, over at least 15 seconds, over a duration of at least 20 minutes, is considered reactive and reassuring. Nonreactive testing reveals no or fewer accelerations over the same or longer period. The NST test is not recorded as positive or negative.