A 24-year-old pregnant woman asks the nurse if it is safe to drink alcohol during pregnancy. Which of the following is the most appropriate response?
Small amounts of alcohol are safe during the second trimester."
"Alcohol is only harmful in the first trimester."
"Alcohol should be avoided completely during pregnancy."
"Beer is safer than hard liquor while pregnant."
The Correct Answer is C
A. "Small amounts of alcohol are safe during the second trimester." is incorrect because no amount of alcohol is considered safe during pregnancy. Even small amounts can affect fetal development and increase the risk of fetal alcohol spectrum disorders (FASD).
B. "Alcohol is only harmful in the first trimester." is incorrect because alcohol exposure can be harmful at any stage of pregnancy, not just the first trimester. While organogenesis occurs early, alcohol can still affect fetal growth, brain development, and neurobehavioral outcomes throughout pregnancy.
C. "Alcohol should be avoided completely during pregnancy." is correct. The safest recommendation is complete abstinence from alcohol. This approach eliminates the risk of alcohol-related complications and supports optimal fetal development. Health authorities, including the CDC and ACOG, advise that no level of alcohol is safe during pregnancy.
D. "Beer is safer than hard liquor while pregnant." is incorrect because all types of alcoholic beverages pose a risk to the developing fetus, regardless of alcohol content or type. There is no safe form of alcohol during pregnancy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Administer a dose of oral antibiotics to treat the infection is incorrect because most cases of croup are viral in origin (commonly parainfluenza virus). Antibiotics are not indicated unless there is a secondary bacterial infection.
B. Place the child in a supine position to facilitate airflow to the lungs is incorrect because lying flat may worsen respiratory distress in a child with croup. Upright positioning is preferred to ease breathing.
C. Encourage the child to lie down to conserve energy is incorrect because supine positioning can increase airway obstruction and worsen stridor. Allowing the child to remain upright and calm is safer.
D. Provide a cool mist humidifier or take the child outside into cool night air is correct because cool, moist air helps reduce laryngeal inflammation and edema, which can relieve stridor and improve breathing. This is a first-line, noninvasive intervention to manage mild to moderate croup symptoms while minimizing respiratory distress.
Correct Answer is B
Explanation
A. Teaching the family about long-term management of asthma is incorrect because asthma management is not directly related to latex allergy, although children with latex allergy may have an increased risk of atopy. The focus should be on latex avoidance.
B. Avoiding using any latex product is correct. Children with spina bifida are at high risk for latex allergy due to frequent surgical procedures and exposure to latex-containing medical products. Complete avoidance of latex in medical equipment, gloves, toys, and household items is the most important preventive intervention to reduce the risk of anaphylaxis or allergic reactions.
C. Administering medication for long-term desensitization is incorrect because there is currently no safe or standard desensitization therapy for latex allergy. Management focuses on prevention and avoidance.
D. Using only nonallergenic latex products is partially misleading. There is no guarantee that “nonallergenic” latex products are completely safe; therefore, latex-free alternatives should be used instead of relying on “nonallergenic” labels.
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