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.

Answer and Explanation

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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Correct Answer is C

Explanation

Choice A rationale
Antihypertensives are medications used to treat high blood pressure. There is no evidence to suggest that they interfere with the effectiveness of combined oral contraceptives (COCs)2.
Choice B rationale
Antioxidants are substances that may protect your cells against free radicals. There is no evidence to suggest that they interfere with the effectiveness of COCs.
Choice C rationale
Certain anticonvulsants, such as carbamazepine (Tegretol), topiramate (Topamax), and phenytoin (Dilantin), are known to decrease the contraceptive effectiveness of COCs. These medications increase the breakdown of the hormones in birth control pills, which could make them less effective.
Choice D rationale
Antiemetics are medications that help prevent and treat nausea and vomiting. There is no evidence to suggest that they interfere with the effectiveness of COCs.

A. Slightly below the umbilicus. B. 3 cm below the umbilicus. C. 3 cm above the umbilicus. D. Slightly above the umbilicus.

Correct Answer is D

Explanation

Choice A rationale
At around 20-22 weeks of gestation, the top of the uterus (fundus) is typically at the level of the belly button (navel)10111213.
Choice B rationale
The fundus being 3 cm below the umbilicus would be more typical of an earlier stage of pregnancy.
Choice C rationale
The fundus being 3 cm above the umbilicus would be more typical of a later stage of pregnancy.
Choice D rationale
At 22 weeks of gestation, the fundus is typically slightly above the umbilicus.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the health history of a client who has a new prescription for a combined oral contraceptive (COC). The nurse recognizes that which of the following client medications can interfere with the effectiveness of the COC?

Correct Answer is C

Explanation

A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation. Where should the nurse expect to palpate the fundus?

Correct Answer is D

Explanation

A nurse is caring for a client who is considering several methods of contraception.Which of the following methods of contraception should the nurse identify as being most reliable?

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?

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When assessing a client’s understanding of symptoms to report during her pregnancy, which statement would indicate to the nurse that the client comprehends the information given to her?

A nurse is educating a client who has a positive pregnancy test about common discomforts in the first trimester of pregnancy and warning signs of potential danger. Which of the following manifestations should the nurse instruct the client to report to the clinic?

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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?