The nurse is discussing the steps of a dressing change with a client who has low self-efficacy. What statement by the client will the nurse prioritize?

Choice A reason: This is a correct answer. Second-hand smoke is the smoke that is exhaled by a smoker or emitted by a burning cigarette, cigar, or pipe. It contains many harmful chemicals that can cross the placenta and affect the developing fetus. Second-hand smoke can increase the risk of low birth weight, preterm birth, congenital anomalies, and sudden infant death syndrome (SIDS) .

Choice B reason: This is a correct answer. Drugs including alcohol are substances that can alter the mood, perception, or behavior of the user. They can also cross the placenta and affect the developing fetus. Drugs including alcohol can cause fetal alcohol spectrum disorders (FASDs), neonatal abstinence syndrome (NAS), growth restriction, brain damage, and birth defects .

Choice C reason: This is a correct answer. Infections are diseases that are caused by microorganisms, such as bacteria, viruses, fungi, or parasites. They can also cross the placenta and affect the developing fetus. Infections can cause miscarriage, stillbirth, preterm labor, congenital infections, and congenital anomalies .

Choice D reason: This is a correct answer. Metabolic conditions are disorders that affect the body's ability to produce or use energy, such as diabetes, thyroid disease, or phenylketonuria (PKU). They can also cross the placenta and affect the developing fetus. Metabolic conditions can cause macrosomia, hypoglycemia, congenital hypothyroidism, or intellectual disability .

Choice E reason: This is not a correct answer. Processed foods are foods that have been altered from their natural state, such as canned, frozen, or packaged foods. They may contain additives, preservatives, or artificial flavors or colors. They do not cross the placenta and affect the developing fetus directly, but they may affect the mother's nutrition and health. Processed foods may increase the risk of obesity, hypertension, or gestational diabetes, which can indirectly affect the fetal development .

Choice A reason: This is not the most significant factor. The client's popularity may change over time or depend on external factors. The client may also face peer pressure or bullying from their friends.

Choice B reason: This is not the most significant factor. The client's academic performance may vary depending on the difficulty of the subjects, the quality of the teachers, or the availability of resources. The client may also experience stress or anxiety from the expectations of their parents or teachers.

Choice C reason: This is the best answer. The client's self-esteem is the most important factor that will help them cope with negative stressors. Self-esteem is the degree to which the client values and respects themselves. A positive self-esteem will enable the client to have confidence, resilience, and optimism in facing challenges and opportunities.

Choice D reason: This is not the most significant factor. The client's family support may be beneficial, but it may not be enough to protect them from negative stressors. The client may also have conflicts or disagreements with their siblings.