The nurse should teach a pregnant woman that which substances are teratogens? (Select all that apply.).
Cigarette smoke.
Isotretinoin (Retin A).
Vitamin C.
Salicylic acid.
Rubella.
Correct Answer : A,B,E
Choice A rationale:
Cigarette smoke contains harmful chemicals that can cause birth defects and other complications during pregnancy. Pregnant women should avoid exposure to cigarette smoke to protect the developing fetus.
Choice B rationale:
Isotretinoin (Retin A) is a medication used to treat severe acne. It is known to cause severe birth defects and should be avoided during pregnancy. Women of childbearing age who are prescribed isotretinoin must use effective contraception to prevent pregnancy while taking the medication.
Choice C rationale:
Vitamin C, also known as ascorbic acid, is a water-soluble vitamin that is essential for various bodily functions. It is not a teratogen and is safe for consumption during pregnancy in recommended amounts. In fact, pregnant women are encouraged to consume an adequate amount of vitamin C to support their overall health and the development of the baby.
Choice D rationale:
Salicylic acid is commonly found in skincare products and is used to treat acne. While oral use of high doses of salicylic acid during pregnancy can be harmful, the small amounts used in topical skincare products are generally considered safe. However, it's advisable for pregnant women to use salicylic acid-containing products in moderation.
Choice E rationale:
Rubella, also known as German measles, is a contagious viral infection that can cause birth defects if a pregnant woman becomes infected, especially during the early stages of pregnancy. Rubella vaccination before pregnancy is recommended to prevent congenital rubella syndrome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Perinatal transmission of HIV can occur not only in the third trimester but also during labor and delivery. It is not limited to the maternal circulation alone.
Choice B rationale:
While needlestick injuries are a potential risk for healthcare workers, perinatal transmission to the newborn does not occur through this route.
Choice C rationale:
HIV is not transmitted through the ingestion of amniotic fluid. The virus can be present in the amniotic fluid, but the main route of transmission to the newborn is during delivery or through breastfeeding.
Choice D rationale:
The correct answer. HIV can be transmitted from an infected mother to her child through breastfeeding if appropriate antiretroviral therapy is not administered. Breast milk can contain the virus, putting the infant at risk of infection. Therefore, in cases where the mother is HIV-positive, formula feeding is recommended to prevent transmission of the virus to the newborn.
Correct Answer is D
Explanation
Choice A rationale:
Explaining how SIDS could have been predicted and prevented might not be appropriate immediately after the loss, as it can come across as insensitive. The focus should be on providing emotional support to the grieving family.
Choice B rationale:
While it's essential to gather information about the circumstances surrounding the infant's death, conducting an in-depth interview immediately might be overwhelming for the parents. Sensitivity and timing are crucial in approaching this aspect of the situation.
Choice C rationale:
Discouraging parents from making a last visit with the infant is highly inappropriate and insensitive. Parents should be allowed to have their final moments with their children and say their goodbyes in a way that brings them comfort and closure.
Choice D rationale:
Making a follow-up home visit to parents as soon as possible after the infant's death is a crucial nursing responsibility. This visit provides an opportunity to offer emotional support, answer any questions the parents might have, and connect them with appropriate resources for coping with their loss. It demonstrates the nurse's ongoing commitment to the family's well-being during this challenging time.
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