A pregnant patient asks the nurse, What is this 'knuckle test ...

[armygirl]

A pregnant patient asks the nurse, What is this 'knuckle test that is supposed to tell whether my baby has a genetic problem? The nurse correctly explains that:
 
  1. The term is nuchal, and it refers to the neck. The test is a special ultrasound that measures the thickness of the back of the baby's neck.
  2. You will need to ask the physician for an explanation.
  3. It tests for Down syndrome.
  4. It tests for neural tube defects.

Question 2

The nursing instructor is preparing clinical pathways to use in class because they provide: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply.
 
  1. Essential nursing activities.
  2. Basic guidelines for outcomes.
  3. Information that allows the nurse to evaluate patient responses.
  4. Examples of all steps of the nursing process.
  5. For the organizing of patient care.

[itsakadoozi]

Answer to Question 1

1
Rationale 1: Nuchal translucency detects fetal chromosome anomalies, including trisomy 21, 18, and 13, and Turner's syndrome. The test measures the thickness of the tissue over the posterior of the baby's neck.
Rationale 2: This is not an appropriate response. The nurse must be aware of laboratory tests performed during pregnancy to intelligently answer patients' questions.
Rationale 3: The triple or quadruple screen detects increased risk for trisomy 21, or Down syndrome.
Rationale 4: The triple or quadruple screen detects increased risk for neural tube defect.

Answer to Question 2

1,2,3
Rationale 1: Clinical pathways identify essential nursing activities for patient care.
Rationale 2: Clinical pathways provide basic guidelines for expected outcomes.
Rationale 3: Clinical pathways allow the nurse to evaluate patient responses against the norm.
Rationale 4: The nursing process is research-based, but is not a part of the clinical pathway.
Rationale 5: Organizing patient care is an aspect of the nursing process.