A nurse is speaking with a client who is 6 weeks' gestation.
The client tells the nurse that she smokes one pack per day, but is trying to quit.
The nurse should explain that newborns born to women who smoke are at risk for:

Intrauterine growth restriction.

Gestational diabetes.

Congenital heart defects.

Vision loss.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Intrauterine growth restriction (IUGR) is a significant risk for newborns of mothers who smoke. Smoking affects placental blood flow, reducing the supply of oxygen and nutrients to the fetus, leading to poor growth.

Choice B rationale

Smoking is not a direct cause of gestational diabetes. Gestational diabetes is primarily related to hormonal changes in pregnancy that affect insulin regulation.

Choice C rationale

Congenital heart defects are not directly linked to smoking. They are usually caused by genetic and environmental factors during early fetal development, not smoking specifically.

Choice D rationale

Vision loss is not directly associated with maternal smoking. Smoking affects fetal growth and development, but vision loss is not a common outcome.

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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.

A. Basal body temperature drops slightly for 24-48 hours. B. Luteinizing hormone increases immediately after. C. Vaginal acidity decreases. D. Libido rises at this time.

Correct Answer is ["A","B","D"]

Explanation

Choice A rationale

Basal body temperature drops slightly for 24-48 hours before ovulation, indicating the most fertile period.

Choice B rationale

Luteinizing hormone surges just before ovulation, triggering the release of an egg from the ovary.

Choice C rationale

Vaginal acidity does not significantly decrease during ovulation; it remains relatively constant.

Choice D rationale

Libido often rises during ovulation due to hormonal changes, which can increase the chances of conception.

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A nurse is speaking with a client who is 6 weeks' gestation.The client tells the nurse that she smokes one pack per day, but is trying to quit.The nurse should explain that newborns born to women who smoke are at risk for:

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Naxlex Comprehensive Predictor Exams

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

The client asks the nurse how a woman can recognize when she is ovulating.Which should be the nurse's responses? (Select all that Apply)

Correct Answer is ["A","B","D"]

Explanation

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A nurse is speaking with a client who is 6 weeks' gestation.
The client tells the nurse that she smokes one pack per day, but is trying to quit.
The nurse should explain that newborns born to women who smoke are at risk for: