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A nurse is reviewing the electronic medical record of a pregnant client who reports regular use of alcohol.
Which of the following findings should the nurse identify as an indication the client may be at risk for polysubstance use disorder? (Select All that Apply)

Being unhoused.

Lack of health insurance.

Anxiety disorder.

Consuming fast food.

10th grade education.

Answer and Explanation

Correct Answer : A,B,C

Choice A rationale

Being unhoused can increase stress and instability, potentially leading to polysubstance use as a coping mechanism.

Choice B rationale

Lack of health insurance can limit access to healthcare, making it harder to seek help for substance use disorders and increasing the risk of polysubstance use.

Choice C rationale

Anxiety disorders can lead individuals to self-medicate with multiple substances, increasing the risk of polysubstance use disorder.

Choice D rationale

Consuming fast food is not directly related to polysubstance use disorder.

Choice E rationale

10th-grade education level alone is not a direct indication of polysubstance use disorder.

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Free Nursing Study Resources

Correct Answer is ["July 27"]

Explanation

Step 1 is to identify the first day of the last menstrual period (LMP), which is October 20.

Step 2 is to count back 3 months from October 20, resulting in July 20.

Step 3 is to add 1 year to July 20, resulting in July 20 of the following year.

Step 4 is to add 7 days to July 20, resulting in July 27.

Final calculated answer: July 27 of the following year.

A. "Smoking and a large alcohol intake can affect the quantity of sperm.”. B. "Smoking or heavy alcohol use has no effect.”. C. "After your first semen analysis, we will see if there will be any difficulty.”. D. "Only if you smoke more than one pack a day will you have difficulty.”.

Correct Answer is A

Explanation

Choice A rationale

Smoking and heavy alcohol intake can indeed affect the quantity of sperm. Both substances can reduce sperm count and motility, leading to lower fertility rates in men.

Choice B rationale

This statement is incorrect. Both smoking and heavy alcohol use negatively impact fertility by reducing sperm quality and quantity.

Choice C rationale

Waiting for a semen analysis without addressing the known effects of smoking and alcohol is not the best approach. Immediate lifestyle changes can improve fertility outcomes.

Choice D rationale

Any amount of smoking can affect sperm quality and fertility. It's not limited to smoking more than one pack a day. Reducing or eliminating smoking can improve fertility.

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A nurse is reviewing the electronic medical record of a pregnant client who reports regular use of alcohol. Which of the following findings should the nurse identify as an indication the client may be at risk for polysubstance use disorder? (Select All that Apply)

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Naxlex Comprehensive Predictor Exams

A pregnant client tells the nurse that her LMP was 3 months ago and began on October 20. Using Naegele's rule, calculate the client's estimated date of delivery. Answer format: "October 20"

Correct Answer is ["July 27"]

Explanation

During the initial visit with the nurse at the fertility clinic, the patient asks what effect cigarette smoking or heavy alcohol intake has on the ability to conceive.What is the nurse's best response?

Correct Answer is A

Explanation

A pregnant client tells the nurse that her LMP was 3 months ago and began on October 20. Using Naegele's rule, calculate the client's estimated date of delivery. Answer format E.g. "October 20"

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A pregnant client asks about the functions of the placenta.Which of the following items should the nurse NOT include in the teaching plan?

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A nurse is providing education to a client during her first prenatal visit.Which of the following should the nurse include in the teaching to decrease the risk of preterm labor?

Each of the following pregnant women is scheduled for a 14-week antepartal visit.In planning care, the nurse would give priority teaching on Quad screening to which client?

A nurse is reviewing the electronic medical record of a pregnant client who reports regular use of alcohol.
Which of the following findings should the nurse identify as an indication the client may be at risk for polysubstance use disorder? (Select All that Apply)