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Daily #217 · Maternal / Newborn · Archive

NCLEX-RN® question of the day

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The question

Situation: Amara, a 28-year-old woman at 10 weeks gestation, presents to the prenatal clinic for her first obstetric visit. She reports no prior pregnancies and takes a daily prenatal vitamin. Background: She has a BMI of 24, BP 118/72, HR 78 bpm, and no significant past medical history. Assessment: Fundal height is consistent with gestational age. She asks why her primary health care provider recommended a first-trimester nuchal translucency ultrasound. Recommendation: The nurse is preparing to explain the purpose of the test. Which explanation best describes the primary purpose of the nuchal translucency ultrasound?

  1. It evaluates the fetal spine for neural tube defects such as spina bifida.
  2. It measures fluid at the fetal neck to screen for chromosomal abnormalities such as Down syndrome.
  3. It confirms placental location to rule out placenta previa.
  4. It assesses fetal lung maturity to predict the risk of respiratory distress syndrome.

Today's and yesterday's questions are open to everyone. Older questions in the archive open with a free account, and the rationale for every option appears once you answer.