A client asks the nurse about the potential risk factors for congenital heart diseases. Which response should the nurse provide?
"Advanced maternal age and maternal obesity are risk factors for congenital heart diseases."
"Exposure to common childhood illnesses during pregnancy increases the risk of these heart conditions."
C)
"There are no known risk factors for congenital heart diseases; they occur randomly and cannot be prevented."
The Correct Answer is A
A) Correct answer. Advanced maternal age and maternal obesity are among the known risk factors for congenital heart diseases. These factors may increase the likelihood of certain heart abnormalities during fetal development.
B) This option is incorrect. Exposure to common childhood illnesses during pregnancy is not a recognized risk factor for congenital heart diseases. The causes are primarily genetic and developmental in nature.
C) This option is incorrect. While genetic factors play a significant role in the development of congenital heart diseases, there are other recognized risk factors, such as maternal age and obesity.
D) This option is incorrect. There are known risk factors for congenital heart diseases, as mentioned in option A. While some cases may occur sporadically without identifiable risk factors, many cases have associated factors that can be addressed through prenatal care and management.
Questions
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) The answer is A. Digoxin is commonly prescribed for clients with congenital heart diseases to improve cardiac contractility. It is essential to monitor the heart rate before administration since digoxin can cause bradycardia as a side effect.
B) Incorrect. The statement is not accurate. There is no need to avoid green, leafy vegetables while taking digoxin. However, the client should be informed about potential drug interactions and follow a balanced diet.
C) Incorrect. Clients taking digoxin should be cautious about consuming potassium-rich foods, as hypokalemia (low potassium levels) can potentiate the effects of digoxin and lead to toxicity.
D) Incorrect. Mild nausea can be a common side effect of digoxin, and the client should not discontinue the medication without consulting their healthcare provider. Instead, they should report any adverse effects for proper evaluation.
Correct Answer is B
Explanation
A) This option is incorrect. Difficulty swallowing and poor feeding may indicate other issues, such as gastrointestinal problems, but they are not early symptoms specific to congenital heart diseases.
B) Correct answer. Cyanosis (bluish skin or lips) during crying or feeding is an early clinical finding that may indicate inadequate oxygenation due to heart defects. This symptom is especially prominent in cyanotic congenital heart diseases.
C) This option is incorrect. Persistent cough and recurrent respiratory infections may be related to respiratory issues but are not specific early symptoms of congenital heart diseases.
D) This option is incorrect. Excessive weight gain and a rapid growth rate are not typical early symptoms of congenital heart diseases.
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