Answer to Question 1
B
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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.
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