The nurse is reviewing the procedure for alpha-fetoprotein (AFP) ...

[kwoodring]

The nurse is reviewing the procedure for alpha-fetoprotein (AFP) screening with a patient at 16 weeks' gestation.
 
  The nurse determines that the patient understands the teaching when she mentions that which fluid will be collected for the initial screening process?
 
  a. Urine
  b. Blood
  c. Saliva
  d. Amniotic

Question 2

For which client would an L/S ratio of 2:1 potentially be considered to be abnormal?
 
  a. A 38-year-old gravida 2, para 1, who is 38 weeks' gestation
  b. A 24-year-old gravida 1, para 0, who has diabetes
  c. A 44-year-old gravida 6, para 5, who is at term
  d. An 18-year-old gravida 1, para 0, who is in early labor at term

[kthug]

Answer to Question 1

ANS: B
Initial screening is completed with blood. AFP can be detected in amniotic fluid; however, that procedure is more costly and invasive. Procedures progress from least invasive to most invasive.

Answer to Question 2

ANS: B
Even though an L/S ratio of 2:1 is typically considered to be a normal finding to validate fetal lung maturity prior to 38 weeks' gestation, the result may not be accurate in determining fetal lung maturity if a client is diabetic.