The nurse is completing the health history of a client at 6 weeks gestation who presents for their initial OB visit. During the visit the client reports to the nurse that they smoke one pack of cigarettes per day. The nurse would want to educate the client that smoking during pregnancy places the newborn at risk for which complication?

Epilepsy

Type 1 diabetes mellitus

Growth restriction

Hearing loss

Answer and Explanation

The Correct Answer is C

A. Epilepsy: Smoking during pregnancy is not linked to epilepsy in the newborn. Epilepsy is typically associated with genetic or neurological factors rather than maternal smoking.

B. Type 1 diabetes mellitus: Type 1 diabetes is an autoimmune condition and is not directly associated with smoking during pregnancy. Smoking can increase the risk of gestational diabetes, but not Type 1 diabetes.

C. Growth restriction: Smoking during pregnancy is a major risk factor for intrauterine growth restriction (IUGR). The toxins in cigarettes can reduce blood flow to the placenta, limiting the oxygen and nutrients available to the fetus, which can result in smaller-than-expected growth.

D. Hearing loss: While maternal smoking can increase the risk of preterm birth and other complications, it is not a direct cause of hearing loss in newborns. Hearing loss is more commonly linked to genetic factors or infections.

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Correct Answer is A

Explanation

A. Darkened, enlarged breast areola: During the first trimester of pregnancy, hormonal changes cause the areolas to darken and enlarge. This is a common and normal finding as the body prepares for breastfeeding.

B. Deeply fissured nipples: Fissured or cracked nipples are not typically observed in the first trimester of pregnancy. This may occur later when the breasts begin to produce milk, especially during breastfeeding.

C. Enlarged axillary lymph nodes: While some mild enlargement of lymph nodes may occur in response to hormonal changes, this is not a typical or significant finding during the first trimester. Any enlarged lymph nodes should be assessed to rule out other conditions.

D. Slack, soft breast tissue: Breast tissue during the first trimester tends to be firm and may feel more tender or swollen due to hormonal changes, rather than slack and soft. This is a normal part of early pregnancy as the body prepares for future lactation.

A. Parents plan to have the child receive needed immunizations within a year B. Primary care physician changed the appointment for immunizations to another day in a month C. Child began to cry during an immunization, and the decision was made to try again later D. Child has all immunizations up-to-date

Correct Answer is D

Explanation

A. Parents plan to have the child receive needed immunizations within a year: Waiting a year to vaccinate is not ideal. Immunizations should be given according to the recommended schedule to ensure timely protection against preventable diseases.

B. Primary care physician changed the appointment for immunizations to another day in a month: Although rescheduling may happen, effective education would result in adherence to the schedule without unnecessary delays.

C. Child began to cry during an immunization, and the decision was made to try again later: The goal is for the child to receive the immunizations on time. Delaying immunizations due to crying reflects a potential lack of preparedness or understanding by the parents.

D. Child has all immunizations up-to-date: This outcome demonstrates that the parents understand the importance of following the immunization schedule and have followed through with it. Keeping the child’s immunizations up-to-date indicates that the nurse’s instructions were effective in ensuring timely protection.

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Naxlex Comprehensive Predictor Exams

The nurse is assessing a client in their first trimester of pregnancy. When assessing the client's breasts, which finding would the nurse likely observe?

Correct Answer is A

Explanation

During a previous well-child visit, the nurse reviews the importance of immunizations with the parents. Which outcome indicates that the nurse's instruction to the parents has been effective?

Correct Answer is D

Explanation

A nurse is administering 30 mg/kg/day of amoxicillin every six hours to a 48.6 lb client. The concentration available is 0.2 g/5 mL. How many mL will the nurse administer to the client per dose? Round to the nearest tenths place. Record numerical answer only.

The nurse is educating a newly pregnant client about danger signs in pregnancy. As part of the education session, the nurse would include which of the following items as a reason to call the office immediately?

The nurse is instructing new parents on caring for their infant if gastroenteritis symptoms should occur. Which parental statement indicates understanding of appropriate care?

Utilize the GTPAL system to classify the obstetrical history of a client who presents for their first prenatal appointment. Obstetrical history includes a vaginal delivery at 26 weeks of a newborn who did not survive, a miscarriage at 8 weeks, and one living child who was delivered at 38 weeks.

The risk factors associated with child abuse are? Select all that apply

The nurse is preparing teaching for the parents of a newborn with a newly-placed ventriculoperitoneal shunt. What should the nurse include in this teaching? Select all that apply

When planning preoperative care for a newborn with a cleft lip and palate, the nurse would plan interventions for which major need?