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 B

Explanation

A. G4 T2 P2 A1 L1: The client had one preterm birth at 26 weeks (P1), not two, and the miscarriage counts as an abortion (A1), not as a preterm or term birth. The classification for preterm births should be adjusted to P1, not P2. There is also one term delivery (T1) not two.

B. G4 T1 P1 A1 L1: The client has had 4 pregnancies (G4): one live birth at 38 weeks (T1), one preterm birth at 26 weeks that did not survive (P1), one miscarriage at 8 weeks (A1), and one living child (L1). This is the correct classification.

C. G3 T2 P1 A1 L1: This option is incorrect because the client has had 4 pregnancies, not 3. The correct count should be G4.

D. G3 T2 P1 A2 L1: This option is incorrect because the miscarriage counts as one abortion (A1), not A2, and the client has had 4 pregnancies, not 3. The client has also had one term delivery (T1) not two.

A. "Your baby is making urine so this is adding to what's in your bladder." B. "Your kidneys now have less cells to filter the fluid that goes through" C. "Your growing uterus is putting pressure on your bladder causing you to go" D. "Your urine is more concentrated now, so you have to go more often"

Correct Answer is C

Explanation

A. "Your baby is making urine so this is adding to what's in your bladder.": While the baby does produce urine, it is not stored in the mother's bladder. The baby’s urine is filtered through the placenta and into the amniotic fluid, not contributing directly to the mother's urinary frequency.

B. "Your kidneys now have less cells to filter the fluid that goes through": Pregnancy increases kidney function. The kidneys filter more blood and produce more urine to accommodate the increased blood volume in the body, but frequent urination is not due to fewer cells.

C. "Your growing uterus is putting pressure on your bladder causing you to go": During early pregnancy, the growing uterus starts to exert pressure on the bladder, which leads to increased frequency of urination. This is a common and normal symptom during pregnancy.

D. "Your urine is more concentrated now, so you have to go more often": Pregnancy does not cause urine to be more concentrated, but rather it increases the volume of urine due to the increased blood volume and kidney function. The frequency is due to pressure on the bladder, not changes in urine concentration.

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Naxlex Comprehensive Predictor Exams

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.

Correct Answer is B

Explanation

A client who is 8 weeks pregnant tells the nurse, "I find that I'm always going to the bathroom to urinate." Which response by the nurse would be appropriate?

Correct Answer is C

Explanation

While caring for a 1-year-old child, the nurse notes that the child's oxygen saturation level is at 90%. Which action would the nurse take next?

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Which purpose of placental functioning should the nurse include in prenatal education?

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