The nurse is creating a patient education brochure describing ...

[renzo156]

The nurse is creating a patient education brochure describing amniocentesis. Which statement is most important for the nurse to include in the brochure?
 
  1. Prior to the amniocentesis, you will be asked to sign a consent form.
  2. After the amniocentesis, your vital signs will be monitored.
  3. During the amniocentesis, you might experience leaking of fluid.
  4. Following the amniocentesis, you can return to normal activities.

Question 2

A woman who is 12 weeks' gestation asks the nurse if she can undergo chorionic villus sampling (CVS) testing in order to determine whether her baby has a neural tube defect. Which response is best?
 
  1. Yes, at 12 weeks' gestation, CVS can be used to diagnose a neural tube defect.
  2. No, because CVS testing is not performed until after 20 weeks' gestation.
  3. Yes, at 12 weeks' gestation, CVS is combined with amniocentesis to diagnose neural tube defects.
  4. No, because CVS testing alone at any stage cannot detect neural tube defects.

[ky860224]

Answer to Question 1

Correct Answer: 2
Rationale 1: This is a true statement, but direct patient care, including monitoring for complications, is a higher priority.
Rationale 2: Vital signs are monitored and fetal monitoring is performed after amniocentesis to verify that both mother and fetus are physiologically stable after the test is completed.
Rationale 3: Leaking of fluid is a complication of amniocentesis indicating rupture of membranes.
Rationale 4: Activity should be restricted for 24 hours after the amniocentesis to help prevent complications.

Answer to Question 2

Correct Answer: 4
Rationale 1: CVS is typically performed between 10 and 13 weeks' gestation; however, CVS does not detect neural tube defects.
Rationale 2: While CVS is typically performed between 10 and 13 weeks' gestation, this test cannot detect neural tube defects.
Rationale 3: CVS is typically performed between 10 and 13 weeks' gestation; however, amniocentesis is not performed until 15 weeks' gestation.
Rationale 4: While CVS is typically performed between 10 and 13 weeks' gestation, this test cannot detect neural tube defects.