Samuel Merrit University Oaklands Hesi Maternity (Labor and Delivery)
Samuel Merrit University Oaklands Hesi Maternity (Labor and Delivery) ( 44 Questions)
A client at 18-weeks gestation was informed this morning that she has an elevated alpha-fetoprotein (AFP) level. After the healthcare provider leaves the room, the client asks what she should do next. What information should the nurse provide?
Discuss options for intrauterine surgical correction of congenital defects:
This choice might be premature as an initial response. An elevated AFP level doesn't definitively indicate congenital defects but can suggest the possibility of certain conditions. Surgical correction would not be the immediate next step.
Inform her that a repeat alpha-fetoprotein (AFP) should be evaluated:
This is a reasonable step. An elevated AFP level might not always indicate a problem, as false positives can occur. A repeat AFP test can help confirm the accuracy of the initial result before further steps are taken.
Reassure the client that the AFP results are likely to be a false reading:
Providing false reassurance may lead to misunderstandings. While false positives can happen, it's crucial to follow up with further assessments to ensure the accuracy of the results.
Explain that a sonogram should be scheduled for definitive results:
A sonogram (ultrasound) can provide additional information and is often used in conjunction with AFP testing to assess fetal development and detect possible abnormalities. However, it might not be the immediate next step after an elevated AFP level. Repeating the AFP test might be the initial course of action.
Discuss options for intrauterine surgical correction of congenital defects:
This choice might be premature as an initial response. An elevated AFP level doesn't definitively indicate congenital defects but can suggest the possibility of certain conditions. Surgical correction would not be the immediate next step.
Inform her that a repeat alpha-fetoprotein (AFP) should be evaluated:
This is a reasonable step. An elevated AFP level might not always indicate a problem, as false positives can occur. A repeat AFP test can help confirm the accuracy of the initial result before further steps are taken.
Reassure the client that the AFP results are likely to be a false reading:
Providing false reassurance may lead to misunderstandings. While false positives can happen, it's crucial to follow up with further assessments to ensure the accuracy of the results.
Explain that a sonogram should be scheduled for definitive results:
A sonogram (ultrasound) can provide additional information and is often used in conjunction with AFP testing to assess fetal development and detect possible abnormalities. However, it might not be the immediate next step after an elevated AFP level. Repeating the AFP test might be the initial course of action.