During a prenatal visit, the practical nurse (PN) discusses with a client the effects of smoking on her fetus. Which problem is common among neonates whose mothers smoked during pregnancy?
Lower birth weights.
Respiratory distress.
Anemia.
A higher rate of congenital anomalies.
The Correct Answer is A
A. Lower birth weights: Nicotine and carbon monoxide reduce placental blood flow and oxygen delivery, leading to intrauterine growth restriction.
B. Respiratory distress: Possible but not the most consistent finding in smoking-related outcomes.
C. Anemia: Not a typical direct outcome of maternal smoking.
D. A higher rate of congenital anomalies: Smoking is not strongly linked to structural anomalies compared to other teratogens.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Observe the appearance of sputum:
Hemoptysis is coughing up blood. The primary method of identifying it is by directly observing sputum color and content.
B. Watch chest expansion on inspiration:
Assesses ventilation and symmetry, but not presence of blood in sputum.
C. Determine how often the cough occurs:
Evaluates frequency but not the nature of sputum production.
D. Auscultate bilateral breath sounds:
Assesses air movement and adventitious sounds, but not the presence of blood.
Correct Answer is B
Explanation
A. Encourage client to discuss feelings with family: Helpful but not the immediate priority.
B. Explain what will happen if client stops dialysis: Ensure informed decision-making about the consequences.
C. Ask provider to remove fistula: Not appropriate until client is fully informed.
D. Document the client’s statement: Should be done, but first priority is patient education.
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