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

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale: Stopping breastfeeding is not an appropriate response to breast engorgement. Continuing to breastfeed frequently and effectively can help relieve the engorgement and ensure adequate milk supply.
Choice B rationale: While frequent breastfeeding is beneficial for both the baby and mother, this statement does not directly address breast engorgement.
Choice C rationale: Wearing a supportive bra during the daytime can actually help reduce breast engorgement and discomfort by providing gentle pressure and support to the breasts.
Choice D rationale: Breast engorgement is a common issue for breastfeeding mothers, especially during the early days after delivery. Applying cold compresses to the breasts before each feeding can help reduce swelling and discomfort associated with engorgement, making it easier for the baby to latch onto the breast.

A. Examine the newborn for birth defects. B. Conduct a gestational age assessment C. Confirm identification and apply a bracelet. D. Dry the newborn.

Correct Answer is D

Explanation

Choice A rationale: While this is an important action, it is not the first priority immediately after delivery. The priority is to ensure the newborn's breathing and warmth.
Choice B rationale: Assessing the gestational age of the newborn is important but can be done after ensuring the newborn's immediate well-being.
Choice C rationale: This is important for proper identification, but it can be done after the newborn is stabilized.
Choice D rationale: The first action after delivery is to dry the newborn to prevent hypothermia and stimulate breathing. Drying the baby helps remove amniotic fluid and stimulates the baby's reflexes, making it the priority action.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A home health care nurse is reinforcing teaching about breast engorgement with a client who is postpartum and is breastfeeding her newborn. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is assisting with the care of a client who is in labor. Immediately after the delivery of a newborn, which of the following actions should the nurse take first?

Correct Answer is D

Explanation

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