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 A

Explanation

A. The maternal-fetal circulation is established by 12 weeks of gestation, allowing oxygen and nutrients to be exchanged between the mother and fetus through the placenta.
B. Lanugo begins developing around 20 weeks and starts to disappear closer to week 36, rather than covering the entire body at that time.
C. Fetal movement (quickening) is usually felt between 16-20 weeks, not as late as 24 weeks.
D. The sex of the baby is determined at conception, but external genitalia do not fully differentiate until around 12-14 weeks, not at 8 weeks.

A. 110 to 160/min B. 100 to 110/min C. 160 to 190/min D. 80 to 100/min

Correct Answer is A

Explanation

A. 110 to 160/min is the normal range for a fetal heart rate at 12 weeks of gestation. The fetal heart rate tends to be higher early in pregnancy and stabilizes within this range by the second trimester.

B. 100 to 110/min is too low for a normal fetal heart rate.

C. 160 to 190/min is above the normal range and may suggest tachycardia, which requires further investigation.

D. 80 to 100/min is too low for a typical fetal heart rate and would be considered bradycardia, which could indicate a concern.

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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 nurse is reinforcing teaching about fetal development with a group of women who are pregnant. Which of the following statements should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is caring for a client who is at 12 weeks of gestation during an initial prenatal visit. The client asks, "What is a normal fetal heart rate?" Which of the following ranges should the nurse provide?

Correct Answer is A

Explanation

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