A maternal serum alpha-fetoprotein (AFP) test indicates an ...

[DyllonKazuo]

A maternal serum alpha-fetoprotein (AFP) test indicates an elevated level. It is repeated and again is reported as higher than normal. What would be the next step in the assess-ment sequence to determine the well-being of the fetus?
 
  a. Percutaneous umbilical blood sampling (PUBS)
  b. Ultrasound for fetal anomalies
  c. Biophysical profile (BPP) for fetal well-being
  d. Amniocentesis for genetic anomalies

Question 2

The nurse is caring for a postoperative 14-year-old female on the pediatric unit. Which consideration is most significant in planning care for this child?
 
  1. The child will want her mother with her at all times.
  2. The child is not going to be concerned with her body image while hospitalized.
  3. The child of this age is learning to become independent.
  4. The child of this age will be glad to miss school.

[jesse.fleming]

Answer to Question 1

B

Feedback
A Indications for use of PUBS include prenatal diagnosis of inherited blood dis-orders, karyotyping of malformed fetuses, detection of fetal infection, determi-nation of the acid-base status of fetuses with intrauterine growth restriction, and assessment and treatment of isoimmunization and thrombocytopenia in the fetus.
B If AFP findings are abnormal, follow-up procedures include genetic counseling for families with a history of neural tube defect, repeated AFP, ultrasound ex-amination, and possibly amniocentesis.
C A BPP is a method of assessing fetal well-being in the third trimester.
D Before an amniocentesis is considered, the woman first would have an ultra-sound for direct visualization of the fetus.

Answer to Question 2

3
Rationale:
1. The adolescent probably will want friends present at times, instead of a parent at all times.
2. Concern with body image and development of independence are both significant concerns in the adolescent age group.
3. The 14-year-old typically will not want a parent or nurse to do all the care for her. She is interested in her body, and wants to start caring for herself.
4. Missing school is not a positive aspect for this age, as frequent contact with peer groups is so important.

[DyllonKazuo]

Thank you

[jesse.fleming]

Happy to help you