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 C

Explanation

Choice A rationale

Fetal nutrition and excretion are carried out by the placenta. This statement is correct. The placenta provides essential nutrients to the fetus and removes waste products from fetal blood.

Choice B rationale

Fetal respirations are carried out by the placenta. This statement is correct. The placenta facilitates gas exchange, providing oxygen to the fetus and removing carbon dioxide.

Choice C rationale

The placenta filters harmful substances from maternal blood. This statement is incorrect. While the placenta provides some barrier function, it does not filter all harmful substances from maternal blood, and certain drugs and toxins can cross the placental barrier and affect the fetus.

Choice D rationale

The placenta receives maternal blood from the uterine arteries. This statement is correct. Maternal blood flows to the placenta via the uterine arteries, supplying oxygen and nutrients to the fetal side of the placenta.

A. Administer azithromycin 1 g PO one time. B. Administer ibuprofen 600 mg PO twice a day for pain. C. Notify all sexual partners within prior 30 days of the need for STI screening. D. Administer ceftriaxone 250 mg IM now. E. Repeat STI screening at next prenatal visit in 1 month. F. Notify the appropriate public health agency.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"C"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"}}

Explanation

Choice A Rationale

Administer azithromycin 1 g PO one time: Anticipated. Azithromycin is commonly used to treat chlamydia infections during pregnancy and is considered safe.

Choice B Rationale

Administer ibuprofen 600 mg PO twice a day for pain: Contraindicated. Ibuprofen is generally avoided during pregnancy, especially in the third trimester, due to risks such as premature closure of the fetal ductus arteriosus.

Choice C Rationale

Notify all sexual partners within prior 30 days of the need for STI screening: Anticipated. Notification of sexual partners for STI screening is a standard public health practice to prevent the spread of infections.

Choice D Rationale

Administer ceftriaxone 250 mg IM now: Anticipated. Ceftriaxone is often used to treat gonorrhea infections during pregnancy and is considered safe for both mother and fetus.

Choice E Rationale

Repeat STI screening at next prenatal visit in 1 month: Anticipated. Repeating STI screening can help ensure that any new or untreated infections are identified and managed appropriately.

Choice F Rationale

Notify the appropriate public health agency: Anticipated. Reporting certain STIs to public health agencies is required by law to help track and control the spread of infections.

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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

A pregnant client asks about the functions of the placenta.Which of the following items should the nurse NOT include in the teaching plan?

Correct Answer is C

Explanation

For each potential prescription from the provider, specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"C"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"}}

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: