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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
While discussing feelings with a trusted family member can be beneficial, it is not the nurse’s place to suggest whom the client should confide in. It’s important to respect the client’s autonomy and privacy.
Choice B rationale
This response dismisses the client’s feelings and may make her feel unheard or misunderstood. It’s crucial to validate the client’s emotions and provide supportive care.
Choice C rationale
This is the correct answer. It’s common for women to experience a range of emotions, including ambivalence, during early pregnancy. Hormonal changes, the impact of pregnancy on identity and lifestyle, and anxiety about parenting can all contribute to these feelings.
Choice D rationale
While professional counseling can be beneficial, suggesting it as an immediate response may imply that the client’s feelings are abnormal or require therapy. It’s more appropriate to normalize the client’s experience, offer support, and provide referrals to mental health professionals if the client expresses an interest or if her distress continues or worsens.
Correct Answer is B
Explanation
Choice A rationale
Rubella immunization in the third trimester is not recommended because it could potentially expose the fetus to the vaccine virus.
Choice B rationale
The Centers for Disease Control and Prevention (CDC) recommends that women who are not immune to rubella and are not pregnant should get vaccinated immediately after giving birth. This is because rubella can cause serious problems during pregnancy, such as miscarriage or serious birth defects.
Choice C rationale
Waiting until the next attempt to get pregnant to get the rubella vaccine could potentially expose the fetus to the vaccine virus if the woman becomes pregnant too soon after vaccination.
Choice D rationale
While it is recommended to get the rubella vaccine shortly after giving birth, it is not recommended to get the vaccine shortly after giving birth if the woman is already pregnant.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.