A nurse is caring for a client who is pregnant and who has two children under the age of 4. The client reports feeling overwhelmed lately. The client asks the nurse, "Can't have just one glass of wine here and there?" Which of the following responses should the nurse make?

As long as you don’t drink in the first trimester, your baby should be okay.

Why do you want to place your baby's well-being at risk?

We recommend no alcohol during pregnancy for the best outcomes.

Drinking even small amounts of alcohol can cause your baby's heart to stop beating.

Answer and Explanation

The Correct Answer is C

A. While alcohol consumption in early pregnancy poses significant risks, it is not safe to drink alcohol at any point during pregnancy. There is no safe amount of alcohol that can be consumed without risk to the developing fetus.

B. Although the sentiment is correct in discouraging alcohol use, this response could be seen as judgmental and may not foster a supportive environment for the client.

C. We recommend no alcohol during pregnancy for the best outcomes. This is the correct and evidence-based response. The safest choice for both maternal and fetal health is to avoid alcohol entirely during pregnancy.

D. While alcohol consumption during pregnancy can lead to various issues like fetal alcohol syndrome, it is unlikely to directly cause the baby’s heart to stop beating.

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Correct Answer is B

Explanation

A. Decrease in production of sebaceous gland secretions is incorrect. Testosterone actually increases sebaceous gland activity, leading to an increase in oil production, which can contribute to acne during puberty.

B. Increase in muscle mass and strength is correct. Testosterone plays a key role in the development of secondary male characteristics, including increased muscle mass, strength, and the growth of larger bones.

C. Stimulation of production of white cells and platelets is incorrect. While testosterone affects many bodily functions, it does not directly stimulate the production of white cells or platelets.

D. Promotion of growth of small bones is incorrect. Testosterone is more closely associated with the growth and development of larger bones (e.g., long bones), leading to height increases during puberty. It does not promote the growth of small bones.

A. Supine hypotension syndrome B. Pregnancy-induced hypotension C. Anxiety D. Hypoglycemia

Correct Answer is A

Explanation

A. Supine hypotension syndrome occurs when the gravid uterus compresses the inferior vena cava when the woman is lying flat on her back, leading to decreased venous return, lowered cardiac output, and a drop in blood pressure. This can cause dizziness, lightheadedness, and sometimes fainting. It is more common in the later stages of pregnancy, such as at 38 weeks.

B. Pregnancy-induced hypotension refers to a decrease in blood pressure due to pregnancy, but it typically does not occur specifically when lying on the back, and is not the main cause of dizziness when positioned in that way.

C. Anxiety can cause dizziness, but it is not the most likely cause of dizziness related to lying flat on the back, especially in late pregnancy.

D. Hypoglycemia can cause dizziness, but it is not typically triggered by a change in position like lying on the back, making it less likely in this scenario.

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A nurse is caring for a client who is pregnant and who has two children under the age of 4. The client reports feeling overwhelmed lately. The client asks the nurse, "Can't have just one glass of wine here and there?" Which of the following responses should the nurse make?

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Naxlex Comprehensive Predictor Exams

A 14-year-old boy is at the pediatric clinic for a checkup. What physical changes of puberty will the nurse indicate are related to the production of testosterone?

Correct Answer is B

Explanation

A woman who is 38 weeks pregnant reports feeling dizzy when lying on her back. What does the nurse explain as the most likely cause of this symptom?

Correct Answer is A

Explanation

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