Question

The client has an Alpha Feta protein level drawn to check for a neural tube defect. The nurse should explain to the client that: A. If the levels of Alpha Feta protein levels are abnormal, an amniocentesis will be ordered. B. An Alpha Feta protein is a definitive test for neural tube defects. C. The client will be asleep during the Alpha Feta protein test. D. Alpha Feta protein levels can indicate lung disorders as well as neural tube defects.

Short answer

Answer: Abnormal Alpha Feta protein levels might indicate the presence of a neural tube defect or other congenital anomalies. If the levels are abnormal, an amniocentesis may be ordered for a more accurate diagnosis.

Step-by-step solution

Understand the Alpha Feta protein test

The Alpha Feta protein test is a blood test done during pregnancy, usually between 15 and 20 weeks, to measure the amount of Alpha Feta protein (AFP) present in the mother's blood. It is used to screen for neural tube defects and other congenital anomalies in the developing fetus.

Analyze answer A

If the Alpha Feta protein levels are abnormal, it might indicate the presence of a neural tube defect or other congenital anomalies. However, it is not a definitive diagnostic test. An amniocentesis, which involves taking a sample of the amniotic fluid, may be recommended for a more accurate diagnosis. This means that the statement in option A is true.

Analyze answer B

The Alpha Feta protein test is not a definitive test for neural tube defects or any other conditions. It is a screening test that indicates whether the fetus might have any congenital anomalies. Abnormal results require further testing, such as an ultrasound examination or amniocentesis, to confirm the diagnosis. Thus, option B is not correct.

Analyze answer C

The Alpha Feta protein test is a blood test, which means that the client will be awake during the procedure. No sedation or anesthesia is needed for this test. Therefore, option C is incorrect.

Analyze answer D

Elevated Alpha Feta protein levels can indicate other anomalies, such as abdominal wall defects, but not lung disorders. The primary purpose of this test is to screen for neural tube defects. So, option D is not accurate.

Select the correct answer

Based on the analysis, option A is the correct answer. The Alpha Feta protein test is not definitive for neural tube defects, and if the levels are abnormal, an amniocentesis may be ordered for a more accurate diagnosis.