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 B
Explanation
Choice A rationale: The Mongolian spot is a bluish-gray birthmark that is often seen on the lower back or buttocks of newborns with darker skin tones. It is not related to the swelling described in the scenario.
Choice B rationale: Caput succedaneum is a common condition in newborns delivered by vacuum extraction. It is characterized by swelling of the soft tissues of the scalp that crosses the suture lines. The swelling occurs due to pressure from the vacuum extractor during delivery and is caused by fluid accumulation between the scalp and the skull. Caput succedaneum is typically a benign and self-resolving condition that does not require treatment.
Choice C rationale: Cephalhematoma is a collection of blood between the periosteum and the skull bone. Unlike caput succedaneum, it does not cross the suture lines and can take weeks to months to resolve.
Choice D rationale: Erythema toxicum is a common skin rash in newborns characterized by red or pink spots with a yellow or white bump in the center. It is not related to the swelling described in the scenario.
Correct Answer is C
Explanation
Choice A rationale: Placing the newborn in the Trendelenburg position (head down, feet up) is not recommended in this situation and can potentially cause harm.
Choice B rationale: While saline drops can help clear nasal congestion, the bubbling mucus is coming from the mouth and nose, and suctioning is more appropriate.
Choice C rationale: The bubbling mucus indicates the presence of mucus and amniotic fluid in the baby's airway, which could interfere with breathing. The first action should be to suction the newborn's mouth to clear the airway.
Choice D rationale: Performing deep suctioning with an endotracheal tube is an invasive procedure and is not necessary for clearing mucus from the newborn's mouth and nose.
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