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NCLEX-RN · Question #503

A female client at 36 weeks' gestation has been treated successfully for premature labor for 4 weeks. She has begun having uterine contractions today and has been admitted to the labor and delivery…

The correct answer is D. Fetal lung maturity. (A) Placental maturity is assessed by a biophysical profile. (B) L/S ratio and presence of phosphatidylglycerol are not used to determine fetal asphyxia. A biophysical profile score of6 may indicate this condition. (C) Cord compression is not reflected by the L/S ratio or…

Physiological Integrity: Reduction of Risk Potential

Question

A female client at 36 weeks' gestation has been treated successfully for premature labor for 4 weeks. She has begun having uterine contractions today and has been admitted to the labor and delivery suite. Her amniocentesis results reveal a lecithin/sphingomyelin (L/S) ratio of 2 and positive phosphatidylglycerol (PG). These lab values indicate:

Options

  • APlacental maturity
  • BSuspected chronic asphyxia
  • CCord compression
  • DFetal lung maturity

How the community answered

(49 responses)
  • A
    2% (1)
  • C
    4% (2)
  • D
    94% (46)

Explanation

(A) Placental maturity is assessed by a biophysical profile. (B) L/S ratio and presence of phosphatidylglycerol are not used to determine fetal asphyxia. A biophysical profile score of6 may indicate this condition. (C) Cord compression is not reflected by the L/S ratio or presence of phosphatidylglycerol. Variable decelerations observed through electronic fetal monitoring could reflect umbilical cord (D) An L/S ratio>2 and the presence of phosphatidylglycerol in amniotic fluid indicate fetal lung

Topics

#L/S ratio#phosphatidylglycerol#fetal lung maturity#amniocentesis interpretation

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