A nurse observes the father of a newborn baby pushing his wife in a wheelchair out onto the patio.
The man and woman each smoke a cigarette while the baby sleeps in the mother's arms.
Which of the following information should the nurse share with the parents?
The baby will eventually develop tolerance to tobacco smoke.
The parents should switch to chewing tobacco as long as the child lives in the home.
Fetal nicotine syndrome may cause complications in the newborn.
The sidestream/secondhand smoke that the baby is exposed to is more dangerous than the mainstream smoke that the parents are inhaling themselves.
The Correct Answer is D
Choice A rationale
It is scientifically incorrect to suggest that infants exposed to tobacco smoke will develop tolerance. Tobacco smoke contains harmful chemicals such as nicotine and carbon monoxide, which can damage developing lungs and increase the risk of respiratory illnesses and sudden infant death syndrome (SIDS). Tolerance does not mitigate these risks.
Choice B rationale
Chewing tobacco still contains nicotine and carcinogens. Although it reduces exposure to sidestream smoke, it still poses risks for nicotine addiction and poisoning, particularly through secondhand exposure and accidental ingestion by children. This recommendation is not supported by scientific evidence.
Choice C rationale
Fetal nicotine syndrome, also known as neonatal nicotine withdrawal, can result from prenatal tobacco exposure. However, this syndrome primarily affects babies exposed to nicotine in utero. Postnatal exposure to tobacco smoke is linked to other complications such as respiratory infections and SIDS, which are immediate concerns.
Choice D rationale
Sidestream smoke, emitted from the burning end of a cigarette, contains higher concentrations of carcinogens and toxins compared to mainstream smoke inhaled by the smoker. Infants exposed to secondhand smoke are at greater risk for respiratory conditions, SIDS, and developmental issues due to these higher concentrations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Prior knowledge of diabetes does not scientifically signify a barrier. Familiarity through a relative can provide foundational awareness, reducing hesitancy in engaging with new management practices or educational material.
Choice B rationale
Belief in ease due to avoiding insulin shots reflects misconceptions about diabetes, but does not scientifically indicate a learner-related barrier. This could reflect limited understanding rather than difficulty in comprehension.
Choice C rationale
Downplaying the impact of type 2 diabetes ignores scientific evidence of significant lifestyle changes needed for its management. However, this denotes misunderstanding rather than a barrier to learning.
Choice D rationale
Difficulty with reading presents a direct scientific barrier. Limited ability to absorb written educational material necessitates alternative teaching methods for effective comprehension of diabetes management concepts. .
Correct Answer is B
Explanation
Choice A rationale
Prejudice contributes to health disparities but is not the root cause of vulnerability, as it lacks direct linkage to tangible resource availability essential for health maintenance and access.
Choice B rationale
Resource insufficiency directly hinders access to healthcare, education, and basic needs, creating a systemic barrier to health, particularly in socioeconomically disadvantaged populations.
Choice C rationale
Family support is crucial for emotional and logistical support but its breakdown is often secondary to broader systemic resource deficits exacerbating vulnerability.
Choice D rationale
Social isolation impacts health through emotional and social deprivation but is frequently a consequence rather than the primary cause of systemic vulnerability.
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