MENU
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:
Suggested Answer: D
Get Premium NCLEX-RN Questions
as Interactive Web-Based Practice Test or PDF
Real Exam Format
Detailed Explanations
Instant Access
Get Your Practice Test
(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.
30 comments · newest first
WI
Wilda
6 months ago
I hope we all get this right! It's crucial for the baby.
SH
Shannan
6 months ago
I was unsure at first, but the lab values are clear.
YE
Yen
6 months ago
I feel confident about this one. Definitely D.
KI
Kizzy
6 months ago
Agreed, Belen. The ratio indicates the lungs are ready.
LA
Lashaunda
6 months ago
I’m not so sure, what if there are other complications?
SH
Sharmaine
7 months ago
Nope, this is good news for the baby!
MY
Myra
7 months ago
Wait, I thought a higher ratio meant problems?
TA
Tamar
7 months ago
Agreed, L/S ratio of 2 means the lungs are ready.
AL
Alica
8 months ago
That's definitely a sign of fetal lung maturity!
CR
Cristal
8 months ago
Option D is the winner. Gotta love those textbook lab values for mature lungs.
YA
Yasuko
8 months ago
Haha, the answer is so obvious, it's like asking a fish to swim! Fetal lung maturity, of course!
HU
Hubert
8 months ago
D is the way to go. Fetal lung maturity is the only logical conclusion based on the information provided.
CH
Christiane
8 months ago
Definitely D. Those lab values are a clear sign of mature fetal lungs, not placental issues or cord problems.
RO
Rosendo
8 months ago
I feel a bit confused about the implications of the PG. Does it always mean the fetus is mature, or could it indicate something else?
LA
Latrice
9 months ago
I practiced a similar question about amniocentesis results, and I think the L/S ratio of 2 definitely points towards fetal lung maturity.
CA
Carmen
9 months ago
I’m not entirely sure, but I think the positive phosphatidylglycerol means the fetus is ready for birth. It might be related to lung maturity too?
CO
Cordelia
9 months ago
I remember studying the L/S ratio and how it relates to fetal lung maturity. A ratio of 2 usually indicates that the lungs are mature, right?
LA
Lashawna
9 months ago
I'm a bit confused by this question. The premature labor aspect makes me wonder if the answer could be something related to the placenta or cord issues. But the lab values do seem to indicate lung maturity. I'll have to carefully weigh the options before selecting my answer.
JU
Junita
9 months ago
D has to be the right answer here. The lab results clearly point to the baby's lungs being mature enough for delivery, even though the mom has been treated for preterm labor. I feel confident about this one.
MA
Margot
9 months ago
Okay, let me see. Placental maturity seems like the wrong answer since the baby is premature. Cord compression doesn't really fit with the lab values provided. I'm leaning towards D, fetal lung maturity, but I want to double-check my reasoning.
BE
Belen
10 months ago
I think it's D) Fetal lung maturity. The L/S ratio is good.
RU
Rusty
10 months ago
Option D is the correct answer. The L/S ratio of 2 and positive PG indicate fetal lung maturity.
OC
Octavio
10 months ago
Yes, the positive PG supports fetal lung maturity too.
RO
Rozella
11 months ago
Hmm, I'm not sure about this one. The question mentions premature labor, so I'm wondering if the answer could be B - suspected chronic asphyxia. I'll have to think this through carefully.
JO
Joana
11 months ago
I think the answer is D. The L/S ratio and positive PG indicate fetal lung maturity, so the baby is ready to be born.
RO
Rolande
5 months ago
Time to prepare for the little one’s arrival!
FE
Felix
5 months ago
Exactly, it’s a good sign for delivery.
MA
Marjory
6 months ago
Yes, positive PG confirms that too.
MA
Marla
10 months ago
I agree, the L/S ratio suggests fetal lung maturity.
BL
Blondell
10 months ago
So, the baby can be born safely now?