A nurse is speaking with a client who is 6 weeks' gestation.
The client tells the nurse that she smokes one pack per day, but is trying to quit.
The nurse should explain that newborns born to women who smoke are at risk for:

Intrauterine growth restriction.

Gestational diabetes.

Congenital heart defects.

Vision loss.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Intrauterine growth restriction (IUGR) is a significant risk for newborns of mothers who smoke. Smoking affects placental blood flow, reducing the supply of oxygen and nutrients to the fetus, leading to poor growth.

Choice B rationale

Smoking is not a direct cause of gestational diabetes. Gestational diabetes is primarily related to hormonal changes in pregnancy that affect insulin regulation.

Choice C rationale

Congenital heart defects are not directly linked to smoking. They are usually caused by genetic and environmental factors during early fetal development, not smoking specifically.

Choice D rationale

Vision loss is not directly associated with maternal smoking. Smoking affects fetal growth and development, but vision loss is not a common outcome.

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Correct Answer is ["B","C","D","E"]

Explanation

Choice A rationale

Do not gain more than 25 pounds in pregnancy due to body image issues is incorrect. Gaining an appropriate amount of weight based on individual health and pregnancy needs is important, and it should not be restricted based on body image concerns.

Choice B rationale

Continue to take your prenatal vitamin every day is correct. Prenatal vitamins are essential in providing the necessary nutrients for both the mother and developing fetus, including folic acid, iron, and calcium.

Choice C rationale

Avoid alcohol, tobacco, and drugs is correct. These substances can have harmful effects on fetal development and should be avoided to ensure a healthy pregnancy.

Choice D rationale

Do not eat more than 12 ounces of low mercury fish each week is correct. While fish can be a good source of protein and omega-3 fatty acids, it's important to limit intake of fish that may contain higher levels of mercury to avoid potential harm to the fetus.

Choice E rationale

Increase caloric intake by 100-200 a day is correct. Pregnant teens need additional calories to support their own growth as well as that of the fetus, but the increase should be moderate and balanced with nutritional needs. .

Correct Answer is ["1.7"]

Explanation

Step 1: 2 mg/kg × 3400 g × (1 kg ÷ 1000 g) = 0.68 mg

Step 2: 68 mg × (1 mL ÷ 0.4 mg) = 1.7 mL.

The nurse will administer 1.7 mL.

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A nurse is speaking with a client who is 6 weeks' gestation.The client tells the nurse that she smokes one pack per day, but is trying to quit.The nurse should explain that newborns born to women who smoke are at risk for:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The student nurse is preparing a presentation on the nutritional needs of pregnant teens.Which items should be included in her teaching plan? (Select all that Apply)

Correct Answer is ["B","C","D","E"]

Explanation

A newborn weighs 3400 grams. The healthcare provider has ordered 0.2 mg/kg of atropine sulfate subcutaneously. Based on the label below, how much will the nurse administer in mL? (Write in your answer).

Correct Answer is ["1.7"]

Explanation

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A nurse is speaking with a client who is 6 weeks' gestation.
The client tells the nurse that she smokes one pack per day, but is trying to quit.
The nurse should explain that newborns born to women who smoke are at risk for: