A nurse is reinforcing teaching with a client who is at 6 weeks of gestation. The client tells the nurse that she smokes one pack of cigarettes per day. The nurse should instruct the client that her newborn is at increased risk for which of the following clinical manifestations?
Craniofacial abnormalities
Low birth weight
Hypersensitivity to noise
Hyperactivity
The Correct Answer is B
Choice A rationale:
Craniofacial abnormalities are not directly associated with maternal smoking during pregnancy. However, smoking during pregnancy can have other adverse effects on the baby's development.
Choice B rationale:
Maternal smoking during pregnancy is a significant risk factor for delivering a baby with low birth weight. Smoking can lead to restricted blood flow to the placenta, affecting the baby's growth and development.
Choice C rationale:
Hypersensitivity to noise is not a common clinical manifestation associated with maternal smoking during pregnancy.
Choice D rationale:
Hyperactivity is not a common clinical manifestation associated with maternal smoking during pregnancy. However, smoking during pregnancy can have other effects on the child's behavior and development later in life.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: While folic acid is important during pregnancy, this statement is not specifically related to dietary intake for breastfeeding mothers. Adequate folic acid intake is essential during pregnancy to prevent neural tube defects in the developing fetus.
Choice B rationale: This statement does not provide enough information and may not be appropriate for all breastfeeding mothers. The caloric needs of breastfeeding mothers can vary depending on their individual metabolism, activity level, and nutritional status.
Choice C rationale: Breastfeeding mothers require adequate protein intake to support their own nutritional needs and the production of breast milk. Decreasing protein intake is not advisable and may lead to nutritional deficiencies.
Choice D rationale: Breastfeeding mothers need to stay well-hydrated to maintain an adequate milk supply and to support their own health. Drinking enough fluids, preferably decaffeinated, is essential for breastfeeding moms.
Correct Answer is A
Explanation
Choice A rationale: The umbilical cord contains three blood vessels: two arteries and one vein. The two arteries carry deoxygenated blood and waste products from the fetus back to the placenta, while the one vein carries oxygenated blood and nutrients from the placenta to the fetus.
Choice B rationale: This option is incorrect because the umbilical cord in a newborn does not have two veins. It contains two arteries and one vein.
Choice C rationale: This option is incorrect because the umbilical cord in a newborn does not have two veins and one artery. It contains two arteries and one vein.
Choice D Rationale: This option is incorrect because the umbilical cord in a newborn does not have only one artery and one vein. It contains two arteries and one vein.
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