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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The umbilical cord typically contains two arteries that carry deoxygenated blood from the fetus to the placenta and one vein that carries oxygenated blood from the placenta to the fetus. This arrangement supports effective nutrient and gas exchange during fetal development.
B. Two veins are not found in the umbilical cord; only one vein is present.
C. While one artery and one vein might be seen in abnormal conditions like single umbilical artery (SUA), this is not typical.
D. Two veins and one artery is incorrect as the typical structure includes two arteries and one vein.
Correct Answer is A
Explanation
A. Relaxation of the uterine smooth muscle occurs during labor and is key for allowing the cervix to dilate. Uterine contractions, which involve smooth muscle contractions, help facilitate cervical dilation and fetal descent into the birth canal.
B. Constriction of cervical smooth muscle would not facilitate dilation. In fact, cervical dilation is enabled by the relaxation of cervical smooth muscle in response to uterine contractions.
C. Stretching of the pelvic smooth muscle helps accommodate the descending fetus, but the primary action for dilation is the uterine contractions and relaxation of the cervix.
D. Contraction of the vaginal smooth muscle occurs during labor but does not directly impact the cervical dilation or fetal descent, as the primary muscular adaptation involved in labor is uterine contractions.
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