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Exam NCLEX-RN topic 5 question 10 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 10
Topic #: 5
[All NCLEX-RN Questions]

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:

  • A. Placental maturity
  • B. Suspected chronic asphyxia
  • C. Cord compression
  • D. Fetal lung maturity
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Suggested Answer: D 🗳️
(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 compression. (D) An L/S ratio>2 and the presence of phosphatidylglycerol in amniotic fluid indicate fetal lung maturity.
by [deleted] at March 10, 2025, 6:58 a.m.

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