A 39-year-old primigravida thinks that she is about 8 weeks ...

[lracut11]

A 39-year-old primigravida thinks that she is about 8 weeks pregnant, although she has had irregular menstrual periods all her life.
 
  She has a history of smoking approximately one pack of cigarettes a day, but she tells you that she is trying to cut down. Her labora-tory data are within normal limits. What diagnostic technique could be used with this pregnant woman at this time? a. Ultrasound examination
  b. Maternal serum alpha-fetoprotein screening (MSAFP)
  c. Amniocentesis
  d. Nonstress test (NST)

Question 2

A nurse assigned to a child does not know how to perform a treatment that has been prescribed for the child. What should the nurse's first action be?
 
  a. Delay the treatment until another nurse can do it.
  b. Make the child's parents aware of the situation.
  c. Inform the nursing supervisor of the problem.
  d. Arrange to have the child transferred to another unit.

[vish98]

Answer to Question 1

A

Feedback
A An ultrasound examination could be done to confirm the pregnancy and deter-mine the gestational age of the fetus.
B It is too early in the pregnancy to perform this test. The MSAFP is performed at 16 to 18 weeks of gestation, followed by amniocentesis if the MSAFP levels are abnormal or if fetal/maternal anomalies are detected.
C It is too early in the pregnancy to perform this test. The MSAFP is performed at 16 to 18 weeks of gestation, followed by amniocentesis if the MSAFP levels are abnormal or if fetal/maternal anomalies are detected.
D It is too early in the pregnancy to perform this test. An NST is performed to as-sess fetal well-being in the third trimester.

Answer to Question 2

C
Feedback
A The nurse could endanger the child by delaying the intervention until another
nurse is available.
B Telling the child's parents would most likely increase their anxiety and will not
resolve the difficulty.
C If a nurse is not competent to perform a particular nursing task, the nurse must
immediately communicate this fact to the nursing supervisor or physician.
D Transfer to another unit delays needed treatment and would create unnecessary
disruption for the child and family.