A pregnant client has received the results of her triple-screen ...

[londonang]

A pregnant client has received the results of her triple-screen testing and it is positive. She provides you with a copy of the test results that she obtained from the lab. What would the nurse anticipate as being implemented in the client's plan of care?
 
  a. No further testing is indicated at this time because results are normal.
  b. Refer to the physician for additional testing.
  c. Validate the results with the lab facility.
  d. Repeat the test in 2 weeks and have the client return for her regularly scheduled prenatal visit.

Question 2

What does a score of 9 on a biophysical profile signify?
 
  a. Normal
  b. Abnormal
  c. Equivocal
  d. Nonreactive

[debra928]

Answer to Question 1

ANS: B
Additional genetic testing is indicated to provide the client with treatment options. A positive result on a triple-screen test is considered to be an abnormal finding so the client should be referred to the physician for additional genetic testing. Validation of the test with a lab facility is not necessary because the client provided you with a copy of the test results. There is no need to repeat the clinical test because the findings have already been determined.

Answer to Question 2

ANS: A
Five parameters of fetal activityfetal heart rate, fetal breathing movements, gross fetal movements, fetal tone, and amniotic fluid volumeare used to determine the biophysical profile. The maximum score is 2 points for each parameter. A score falling between 8 and 10 is considered normal. A score of 4 or less is considered abnormal. Equivocal and nonreactive are not terms used to describe the results of a biophysical profile.

[londonang]

Great answer, keep it coming

[juliaf]

Thanks for the timely response, appreciate it