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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Zidovudine (ZVD) is given intravenously during labor to reduce the risk of mother-to-child transmission of HIV.
Choice B rationale
HIV-positive mothers are advised not to breastfeed as HIV can be transmitted through breast milk. This statement indicates the need for further teaching.
Choice C rationale
Administering Zidovudine (ZVD) orally to the baby immediately after birth for 6 weeks is standard practice to prevent HIV transmission.
Choice D rationale
Adherence to taking Zidovudine (ZVD) at the same time every day during pregnancy is crucial for maintaining effective drug levels and reducing the risk of mother-to-child transmission.
Correct Answer is B
Explanation
Choice A rationale
Possible signs of pregnancy include symptoms like nausea, but feeling the baby move is not one of them.
Choice B rationale
Feeling fetal movements felt by both the mother and examiner is a positive sign of pregnancy as it confirms fetal presence.
Choice C rationale
Presumptive signs of pregnancy are symptoms felt by the woman, such as missed periods, but not confirmed fetal movements.
Choice D rationale
Probable signs include changes observed by an examiner, like a positive pregnancy test, but not confirmed fetal movements.
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