A 25-year-old woman is in the clinic for her first prenatal ...

[ARLKQ]

A 25-year-old woman is in the clinic for her first prenatal visit. The nurse will prepare to obtain which laboratory screening test at this time?
 
  a. Urine toxicology
  b. Complete blood cell count
  c. Alpha-fetoprotein
  d. Carrier screening for cystic fibrosis

Question 2

A woman at 25 weeks' gestation comes to the clinic for her prenatal visit. The nurse notices that her face and lower extremities are swollen, and her blood pressure is 154/94 mm Hg.
 
  The woman states that she has had headaches and blurry vision but thought she was just tired. What should the nurse suspect?
  a.
  Eclampsia
  b.
  Preeclampsia
  c.
  Diabetes type 1
  d.
  Preterm labor

[sokh]

Answer to Question 1

ANS: B
At the onset of pregnancy, a routine prenatal panel usually includes a complete blood cell count, serologic testing, rubella antibodies, hepatitis B screening, blood type and Rhesus factor, and antibody screen. A clean-catch urine sample is collected for urinalysis to rule out cystitis. Urine toxicology, although beneficial for women if active substance abuse is suspected or known, is not routinely performed. In the second trimester, maternal serum is analyzed for alpha-fetoprotein. Carrier screening for cystic fibrosis is offered to check whether a person carries the abnormal gene that causes cystic fibrosis but is not part of routine testing.

Answer to Question 2

ANS: B
Classic symptoms of preeclampsia include elevated blood pressure (greater than 140 mm Hg systolic or 90 mm Hg diastolic in a woman with previously normal blood pressure) and proteinuria. Onset and worsening symptoms may be sudden, and subjective signs include headaches and visual changes. Eclampsia is manifested by generalized tonic-clonic seizures. These symptoms are not indicative of diabetes mellitus (type 1 or 2) or preterm labor.

[ARLKQ]

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[momolu]

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