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NO.1 Prior to an amniocentesis, a fetal ultrasound is done in order to:
A. Locate the position of the placenta and fetus
B. Evaluate fetal lung maturity
C. Evaluate the amount of amniotic fluid
D. Ensure that the fetus is mature enough to perform the amniocentesis
Answer: A

NCLEX-RN exam   
Explanation:
(A) Amniocentesis can be performed to assess for lung maturity. Fetal ultrasound can be used for
gestational dating, although it does not separately determine lung maturity. (B) Ultrasound can
evaluate amniotic fluid volume, which may be used to determine congenital anomalies. (C)
Amniocentesis involves removal of amniotic fluid for evaluation. The needle, inserted through the
abdomen, is guided by ultrasound to avoid needle injuries, and the test evaluates the position of the
placenta and the fetus. (D) Amniocentesis can be performed as early as the 15th-17th week of
pregnancy.

NO.2 Three weeks following discharge, a male client is readmitted to the psychiatric unit for
depression. His wife stated that he had threatened to kill himself with a handgun. As the nurse
admits him to the unit, he says, "I wish I were dead because I am worthless to everyone; I guess I am
just no good." Which response by the nurse is most appropriate at this time?
A. "Don't you think this is a sign of your illness?"
B. "I know with your wife and new baby that you do have a lot to live for."
C. "You've been feeling sad and alone for some time now?"
D. "I don't think you are worthless. I'm glad to see you, and we will help you."
Answer: C

NCLEX-RN dumps   
Explanation:
(A)
This response does not acknowledge the client's feelings.
(B)
This is a closed question and does not encourage communication.
(C)
This response negates the client's feelings and does not require a response from the client. (D) This
acknowledges the client's implied thoughts and feelings and encourages a response.