A patient at 24 weeks of gestation says she has a glass of wine with dinner every evening. The nurse will counsel her to eliminate all alcohol intake because:
a daily consumption of alcohol indicates a risk for alcoholism.
she will be at risk for abusing other substances as well.
the fetus is at risk for multiple organ anomalies.
the fetus is placed at risk for altered brain growth.
The Correct Answer is D
Choice A reason: A daily consumption of alcohol does not necessarily indicate a risk for alcoholism, although it is not recommended for pregnant women. Alcoholism is a chronic disease that involves physical and psychological dependence on alcohol, and it requires more than one criterion to be diagnosed.
Choice B reason: She will not be at risk for abusing other substances as well, unless she has a history or predisposition for substance abuse. Alcohol use during pregnancy does not cause other substance abuse problems, although it may co-occur with them.
Choice C reason: The fetus is not at risk for multiple organ anomalies, unless the mother consumes large amounts of alcohol during the first trimester of pregnancy. This can cause fetal alcohol syndrome (FAS), which is characterized by facial dysmorphia, growth retardation, and intellectual disability. However, FAS is rare and not related to moderate alcohol intake during the second trimester.
Choice D reason: The fetus is placed at risk for altered brain growth, as alcohol can cross the placenta and affect the developing nervous system of the fetus. Alcohol exposure during the second trimester can impair the formation and migration of neurons, leading to reduced brain size and function. This can result in learning difficulties, behavioral problems, and cognitive impairments in the child.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Progesterone is the hormone that stimulates the development of the alveoli and lobules of the mammary glands during pregnancy. It prepares the breasts for lactation by increasing the number and size of the milk-producing cells.
Choice B reason: Testosterone is the main male sex hormone that is responsible for the development of male reproductive organs and secondary sex characteristics. It has no direct role in the maturation of mammary gland tissue.
Choice C reason: Prolactin is the hormone that initiates and maintains milk production after childbirth. It is secreted by the anterior pituitary gland in response to suckling or nipple stimulation. It does not affect the maturation of mammary gland tissue.
Choice D reason: Estrogen is the hormone that stimulates the growth of the duct system of the mammary glands during puberty and pregnancy. It also promotes the development of female reproductive organs and secondary sex characteristics. It does not affect the maturation of mammary gland tissue.
Correct Answer is D
Explanation
Choice A reason: A daily consumption of alcohol does not necessarily indicate a risk for alcoholism, although it is not recommended for pregnant women. Alcoholism is a chronic disease that involves physical and psychological dependence on alcohol, and it requires more than one criterion to be diagnosed.
Choice B reason: She will not be at risk for abusing other substances as well, unless she has a history or predisposition for substance abuse. Alcohol use during pregnancy does not cause other substance abuse problems, although it may co-occur with them.
Choice C reason: The fetus is not at risk for multiple organ anomalies, unless the mother consumes large amounts of alcohol during the first trimester of pregnancy. This can cause fetal alcohol syndrome (FAS), which is characterized by facial dysmorphia, growth retardation, and intellectual disability. However, FAS is rare and not related to moderate alcohol intake during the second trimester.
Choice D reason: The fetus is placed at risk for altered brain growth, as alcohol can cross the placenta and affect the developing nervous system of the fetus. Alcohol exposure during the second trimester can impair the formation and migration of neurons, leading to reduced brain size and function. This can result in learning difficulties, behavioral problems, and cognitive impairments in the child.
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