Antepartal Testing & Genetics

Women who become pregnant for the first time at a later reproductive age (35 years of age or older) are at risk for what complications? Select all that apply. a. Preterm labor b. Multiple gestation c. Development of seizures d. Chromosomal anomalies e. Bleeding in the first trimester

a. Preterm labor b. Multiple gestation d. Chromosomal anomalies e. Bleeding in the first trimester

A client at 9 weeks' gestation asks the nurse in the prenatal clinic if she can have her chorionic villi sampling (CVS) done at this visit. At what week gestation should the nurse respond is the best time for this test? a. 8 weeks and less than 10 weeks b. 10 weeks and less than 12 weeks c. 12 weeks and less than 14 weeks d. 14 weeks and less than 16 weeks

b. 10 weeks and less than 12 weeks

Sonography of a primigravida who is at 15 weeks´ gestation reveals a twin pregnancy. The nurse reviews with the client the risks of a multiple pregnancy that were explained by the health care provider. Which condition does the client identify that indicates the need for further instruction about complications associated with a multiple gestation? a. Preterm birth b. Down syndrome c. Twin-to-twin transfusion d. Gestational hypertension

b. Down syndrome

A client is preterm labor at 35 weeks' gestation asks the nurse, "What determines whether my baby's lungs will be okay?" The nurse explains that a test of the amniotic fluid obtained through an amniocentesis will reflect fetal lung maturity. Which test should the nurse include in the discussion? a. Amniotic fluid index (AFI) b. Phosphatidylglycerol (PG) test c. Alpha-fetoprotein levels (AFP) d. Lecithin-sphingomyelin (L/S) ratio

b. Phosphatidylglycerol (PG) test

A client in the 18th week of pregnancy is scheduled for ultrasonography. What instruction should the nurse give the client? a. "Don't eat for 4 hours after the test." b. "Give yourself an enema the night before." c. "Don't urinate for at least 3 hour before the test." d. "You will be monitored closely afterward for signs of labor."

c. "Don't urinate for at least 3 hour before the test."

A client who is scheduled for an amniocentesis states, "I'm glad this test will be able to tell whether my baby is well or not." How should the nurse respond? a. "Research has shown that this is an excellent test." b. "A normal amniocentesis is a reliable indicator of a healthy baby." c. "This test is useful in detecting potential defects due to chromosomal errors." d. "An amniocentesis is a valuable tool for detecting congential defects in the developing fetus."

c. "This test is useful in detecting potential defects due to chromosomal errors."

A 38-year-old client attends the prenatal clinic for the first time. A nurse explains that several tests will be performed, one of which is the serum alpha-fetoprotein test. The client asks what the test will reveal. What should the nurse include in the reply? a. Trisomy 21 b. Turner syndrome c. Open neural tube defects d. Chromosomal aberrations

c. Open neural tube defects

A client visiting the prenatal clinic for the first time asks a nurse about the probability of having twins because her husband is one of a pair of fraternal twins. What is the appropriate response by the nurse? a. "A sonogram will tell us if there's a twin pregnancy." b. "There's a 25 percent probability of you having twins." c. "The husband's history of being a twin increases the chance of having twins." d. "There's no greater probability of you having twins than in the general population."

d. "There's no greater probability of you having twins than in the general population."

A nurse is caring for a patient who had a spontaneous abortion. The patient asks why spontaneous abortions occur. The nurse responds that they are most commonly caused by what? a. Physical trauma b. Unresolved stress c. Congenital defects d. Embryonic defects

d. Embryonic defects

A 42-year-old client has an amniocentesis during the 16th week of gestation because of concern about Down syndrome. What additional information about the fetus will examination of the amniotic fluid reveal at this time? a. Lung maturity b. Type 1 diabetes c. Cardiac anomaly d. Neural tube defect

d. Neural tube defect