Author Question: A maternal serum alpha-fetoprotein (AFP) test indicates an elevated level. It is repeated and again ... (Read 113 times)

DyllonKazuo

  • Hero Member
  • *****
  • Posts: 565
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

  • Sr. Member
  • ****
  • Posts: 301
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.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question


 

Did you know?

Lower drug doses for elderly patients should be used first, with titrations of the dose as tolerated to prevent unwanted drug-related pharmacodynamic effects.

Did you know?

Signs and symptoms that may signify an eye tumor include general blurred vision, bulging eye(s), double vision, a sensation of a foreign body in the eye(s), iris defects, limited ability to move the eyelid(s), limited ability to move the eye(s), pain or discomfort in or around the eyes or eyelids, red or pink eyes, white or cloud spots on the eye(s), colored spots on the eyelid(s), swelling around the eyes, swollen eyelid(s), and general vision loss.

Did you know?

The strongest synthetic topical retinoid drug available, tazarotene, is used to treat sun-damaged skin, acne, and psoriasis.

Did you know?

Historic treatments for rheumatoid arthritis have included gold salts, acupuncture, a diet consisting of apples or rhubarb, nutmeg, nettles, bee venom, bracelets made of copper, prayer, rest, tooth extractions, fasting, honey, vitamins, insulin, snow collected on Christmas, magnets, and electric convulsion therapy.

Did you know?

Coca-Cola originally used coca leaves and caffeine from the African kola nut. It was advertised as a therapeutic agent and "pickerupper." Eventually, its formulation was changed, and the coca leaves were removed because of the effects of regulation on cocaine-related products.

For a complete list of videos, visit our video library