Nokea
A nurse is completing a health history for a client who is at 6-week gestation. The client informs the nurse that she smokes one park of cigarettes per day. The nurse should advise the client that smoking places the client9s newborn at risk for what complication?
- A. Hearing loss
- B. Intrauterine growth restriction
- C. Type 1 diabetes mellitus
- D. Congenital heart defects
Correct Answer: B
Rationale: The correct answer is B: Intrauterine growth restriction (IUGR). Smoking during pregnancy can restrict blood flow to the fetus, leading to inadequate oxygen and nutrients, resulting in IUGR. This can lead to low birth weight and potential health complications for the newborn. Hearing loss (A) is not directly associated with smoking during pregnancy. Type 1 diabetes mellitus (C) is an autoimmune condition not caused by maternal smoking. Congenital heart defects (D) can be a risk with smoking during pregnancy, but the most direct risk is IUGR.
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A newborn is suspected of having substance abuse instructions? exposure. Which of the following assessment findings
- A. Exercise will decrease my metabolism and should the nurse expect? Select all that apply.
- B. Increased weight gain
- C. Starting on Glucophage will take the place of
- D. Seizures
Correct Answer: D
Rationale: The correct answer is D: Seizures. Substance abuse exposure in a newborn can lead to withdrawal symptoms, including seizures. This is because the newborn's central nervous system may have been affected by the substances. Seizures are a serious medical emergency and require immediate attention.
Explanation for why other choices are incorrect:
A: Exercise and metabolism are not directly related to substance abuse exposure in a newborn.
B: Increased weight gain is not a typical assessment finding for newborns with substance abuse exposure.
C: Glucophage is a medication used to treat diabetes, and it does not relate to substance abuse exposure in a newborn.
After ovulation, what does the ruptured follicle in the ovary transform into?
- A. Corpus luteum
- B. Corpus cavernosum
- C. Corpus callosum
- D. Corpus albicans
Correct Answer: A
Rationale: After ovulation, the ruptured follicle transforms into the corpus luteum. This structure secretes hormones like progesterone to prepare the uterus for potential pregnancy. The other choices are incorrect because:
B: Corpus cavernosum is erectile tissue found in the penis.
C: Corpus callosum is a structure in the brain connecting the two hemispheres.
D: Corpus albicans is the remnant of the corpus luteum if pregnancy doesn't occur.
A client at 20 weeks' gestation asks about fetal movements. What is the nurse's best response?
- A. Fetal movements are rarely felt before 24 weeks.
- B. You should feel strong, regular movements at this stage.
- C. You may feel fluttering movements, known as quickening.
- D. It is too early to feel any fetal movements.
Correct Answer: C
Rationale: The correct answer is C because quickening, described as fluttering movements, is typically felt by pregnant individuals around 18-20 weeks of gestation. This indicates fetal movement and is an important milestone in pregnancy. Choices A and D are incorrect as fetal movements can be felt as early as 18-20 weeks. Choice B is incorrect as feeling strong, regular movements is not expected until later in the pregnancy.
A client is to receive Pergonal (menotropins) injections for infertility prior to in-vitro fertilization. Which of the following is the expected action of this medication?
- A. Stimulation of ovulation
- B. Prolongation of the luteal phase
- C. Promotion of cervical mucus production
- D. Suppression of menstruation fertilization. Which of the following is the expected action of this medication?
Correct Answer: A
Rationale: The correct answer is A: Stimulation of ovulation. Pergonal contains menotropins, which are hormones that stimulate the ovaries to produce eggs. During in-vitro fertilization, the goal is to retrieve multiple eggs for fertilization, making ovulation stimulation crucial.
Explanation for incorrect choices:
B: Prolongation of the luteal phase - Pergonal does not affect the luteal phase, which occurs after ovulation.
C: Promotion of cervical mucus production - Pergonal does not directly influence cervical mucus production.
D: Suppression of menstruation - Pergonal does not suppress menstruation but rather induces ovulation.
A client at 12 weeks' gestation asks about the purpose of nuchal translucency testing. What is the nurse's best response?
- A. It screens for fetal anemia.
- B. It detects neural tube defects.
- C. It screens for chromosomal abnormalities.
- D. It confirms gestational age.
Correct Answer: C
Rationale: The correct answer is C because nuchal translucency testing is primarily used to screen for chromosomal abnormalities, such as Down syndrome, in the fetus. This test measures the thickness of the fluid-filled space at the back of the baby's neck. It is typically done between 11 and 14 weeks of pregnancy. This testing helps to assess the risk of genetic conditions in the fetus. Option A is incorrect because nuchal translucency testing does not screen for fetal anemia. Option B is incorrect because it does not detect neural tube defects. Option D is incorrect because it does not confirm gestational age.