A nurse is examining different nursing roles. Which of the ...

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A nurse is examining different nursing roles. Which of the following best illustrates an advanced practice nursing role?
 
  1. A registered nurse who is the manager of a large obstetrical unit
  2. A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections)
  3. A clinical nurse specialist working as a staff nurse on a motherbaby unit
  4. A clinical nurse specialist with whom other nurses consult for her expertise in caring for high-risk infants

Question 2

Which screening test to detect chromosomal anomalies would a nurse schedule a client for at 16 weeks' gestation?
 
  a. Amniocentesis c. Fasting glucose
  b. Chorionic villi sam-pling d. Ultrasound

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Answer to Question 1

4
Rationale:
1. A registered nurse who is the manager of a large obstetrical unit or one who is a circulating nurse at surgical deliveries (cesarean sections) is defined as a professional nurse, and has graduated from an accredited program in nursing and completed the licensure examination.
2. A registered nurse who is the manager of a large obstetrical unit or one who is a circulating nurse at surgical deliveries (cesarean sections) is defined as a professional nurse, and has graduated from an accredited program in nursing and completed the licensure examination.
3. A clinical nurse specialist working as a staff nurse on a motherbaby unit might have the qualifications for an advanced practice nursing staff but is not working in that capacity.
4. A clinical nurse specialist with whom other nurses consult for expertise in caring for high-risk infants would illustrate an advanced practice nursing role. This nurse has specialized knowledge and competence in a specific clinical area, and is master's-prepared.

Answer to Question 2

A
Midtrimester amniocentesis is commonly performed between the 14th and 16th weeks of gestation to detect fetal chromosomal anomalies. Chorionic villi sampling is performed usually between the 9th and 12th weeks of gestation. Fasting glucose is used to diagnose gestational diabetes. Ultrasound is usually performed in early pregnancy.