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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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Correct Answer is ["B","C","D","E"]

Explanation

Choice A rationale

Do not gain more than 25 pounds in pregnancy due to body image issues is incorrect. Gaining an appropriate amount of weight based on individual health and pregnancy needs is important, and it should not be restricted based on body image concerns.

Choice B rationale

Continue to take your prenatal vitamin every day is correct. Prenatal vitamins are essential in providing the necessary nutrients for both the mother and developing fetus, including folic acid, iron, and calcium.

Choice C rationale

Avoid alcohol, tobacco, and drugs is correct. These substances can have harmful effects on fetal development and should be avoided to ensure a healthy pregnancy.

Choice D rationale

Do not eat more than 12 ounces of low mercury fish each week is correct. While fish can be a good source of protein and omega-3 fatty acids, it's important to limit intake of fish that may contain higher levels of mercury to avoid potential harm to the fetus.

Choice E rationale

Increase caloric intake by 100-200 a day is correct. Pregnant teens need additional calories to support their own growth as well as that of the fetus, but the increase should be moderate and balanced with nutritional needs. .

A. Immediately. B. One week before her period. C. When pregnancy is confirmed. D. If she misses her period.

Correct Answer is A

Explanation

Choice A rationale

Increasing folic acid intake immediately is recommended because it helps prevent neural tube defects, which can occur very early in pregnancy, often before a woman knows she is pregnant.

Choice B rationale

Starting folic acid intake one week before her period is not sufficient. Folic acid needs to be taken consistently before conception and during early pregnancy to be effective.

Choice C rationale

Waiting until pregnancy is confirmed may be too late to prevent neural tube defects, which form in the early weeks of pregnancy.

Choice D rationale

If she misses her period, it might already be too late to prevent neural tube defects. Consistent intake of folic acid before and during early pregnancy is essential.

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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

The student nurse is preparing a presentation on the nutritional needs of pregnant teens.Which items should be included in her teaching plan? (Select all that Apply)

Correct Answer is ["B","C","D","E"]

Explanation

A client reports that she and her husband are considering starting a family within the next year.The nurse should advise the client to increase her intake of folic acid:

Correct Answer is A

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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)