A charge nurse is teaching a newly licensed nurse about substance use disorders during pregnancy.Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Encourage clients who are prescribed methadone to breastfeed.

Methamphetamine use during pregnancy is associated with fetal macrosomia.

Environmental stimuli should be increased during the neonatal period.

Increased head circumference is an expected finding in a newborn who has fetal alcohol syndrome.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Methadone is often prescribed to pregnant women with opioid use disorder and is considered safe for breastfeeding. Breastfeeding can provide additional benefits such as bonding and transferring antibodies to the infant.

Choice B rationale

Methamphetamine use during pregnancy is linked to fetal growth restriction, preterm birth, and low birth weight, not fetal macrosomia (large body size).

Choice C rationale

Reducing environmental stimuli is essential for neonates exposed to substances in utero. Increased stimuli can overwhelm their underdeveloped nervous systems, leading to stress and adverse outcomes.

Choice D rationale

Fetal alcohol syndrome is characterized by growth deficiencies, facial abnormalities, and central nervous system dysfunction. An increased head circumference is not a typical feature; rather, microcephaly (small head circumference) is more common.

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Correct Answer is C

Explanation

Choice A rationale

Feeding from only one breast can lead to engorgement and a decrease in milk supply in the affected breast. It is important to continue breastfeeding from both breasts, even if one is infected.

Choice B rationale

Discarding milk is not necessary and can lead to a decrease in milk supply. The infection does not harm the baby, and breastfeeding helps to drain the breast and clear the infection.

Choice C rationale

Moist heat can help to increase blood flow and promote healing in the affected breast. Applying warm compresses or taking warm showers can help to reduce pain and inflammation associated with mastitis.

Choice D rationale

While staying hydrated is important for overall health, there is no specific requirement to drink at least 1500 milliliters of fluid per day for mastitis. Adequate fluid intake should be maintained, but there is no direct correlation with resolving the infection.

A. A positive finding indicates the inability to metabolize galactose. B. A positive finding indicates the infant will have a slow metabolism. C. A positive finding indicates an inability to metabolize certain amino acids. D. A positive finding indicates an increased risk for neurological anomalies.

Correct Answer is C

Explanation

Choice A rationale

A positive finding for galactosemia, not PKU, indicates the inability to metabolize galactose. Galactosemia is a different metabolic disorder that requires a separate dietary intervention.

Choice B rationale

A positive PKU test does not indicate slow metabolism. Instead, it signifies the inability to metabolize phenylalanine, an amino acid.

Choice C rationale

Phenylketonuria (PKU) is a genetic disorder that leads to the inability to break down the amino acid phenylalanine. Without proper management, it can accumulate in the body and cause brain damage and other health issues.

Choice D rationale

A positive PKU test is not directly linked to an increased risk for neurological anomalies in general. The specific issue in PKU is the inability to metabolize certain amino acids, primarily phenylalanine, which can cause neurological damage if untreated. .

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A charge nurse is teaching a newly licensed nurse about substance use disorders during pregnancy.Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching for a client who is 2 weeks postpartum and has mastitis.Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is collecting a blood phenylketonuria (PKU) test for a newborn prior to discharge.The newborn's guardian asks the nurse what a positive PKU test would mean.Which of the following statements should the nurse make?

Correct Answer is C

Explanation

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