A nurse is completing a health history for a patient who is 6 weeks pregnant.
The patient informs the nurse that she smokes one pack of cigarettes per day.
The nurse should inform the patient that smoking puts her newborn at risk for which of the following complications?
Intrauterine growth restriction.
Hearing loss.
Congenital heart defects.
Type 1 diabetes mellitus.
The Correct Answer is A
Choice A rationale
This is the correct answer. Smoking during pregnancy increases the risk of intrauterine growth restriction, which can lead to low birth weight.
Choice B rationale
While smoking can have many negative health effects, there is no direct link between maternal smoking and hearing loss in the newborn.
Choice C rationale
Maternal smoking is not directly linked to congenital heart defects in the newborn.
Choice D rationale
There is no established link between maternal smoking and the development of type 1 diabetes mellitus in the newborn.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
A negative rubella titer does not necessarily mean that the client is not currently experiencing a rubella infection. The titer measures immunity to the disease, not the presence of an active infection.
Choice B rationale
A negative rubella titer indicates that the client is not immune to the rubella virus. This means that she has not been vaccinated against the disease or has not had it in the past.
Choice C rationale
While a rubella vaccination could be beneficial for a client with a negative rubella titer, it is not typically given during pregnancy due to the theoretical risk to the fetus. The rubella vaccine is a live vaccine, and while there is no evidence of harm to the fetus, it is generally avoided during pregnancy as a precaution.
Choice D rationale
This is the correct interpretation of the data. A client with a negative rubella titer should receive a rubella immunization following delivery to protect against future infections.
Correct Answer is B
Explanation
Choice A rationale
While migraines can sometimes be exacerbated by oral contraceptives, they are not a contraindication.
Choice B rationale
This is the correct answer. Smoking, especially over the age of 35, significantly increases the risk of serious cardiovascular side effects from oral contraceptive use.
Choice C rationale
Benign breast disease is not a contraindication for oral contraceptives.
Choice D rationale
A history of pelvic inflammatory disease is not a contraindication for oral contraceptives.
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