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 C
Explanation
A. Raise the pitch of your voice and speak slower: Higher pitch may make it harder for older adults to hear; slowing speech can help but low pitch is better.
B. Sit with light of window behind you: Causes glare and makes lip reading harder.
C. Restate questions articulating consonants carefully: Clear articulation improves comprehension without straining the voice.
D. Stand above client and speak loudly: Loudness can distort sound and is uncomfortable.
Correct Answer is C
Explanation
A. Most young children have poor immunity against ear infections: Immunity develops over time, but this is not the main reason for increased risk.
B. The exposure to other children with URIs is more frequent: True, but not the primary anatomical reason.
C. Eustachian tubes in young children are shorter and straighter than in the adult: This allows pathogens to travel easily from nasopharynx to middle ear.
D. The inner ear offers little protection from infection: The middle, not inner ear, is affected in otitis media.
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