A nurse observes the father of a newborn baby pushing his wife in a wheelchair out onto the patio.
The man and woman each smoke a cigarette while the baby sleeps in the mother's arms.
Which of the following information should the nurse share with the parents?
The baby will eventually develop tolerance to tobacco smoke.
The parents should switch to chewing tobacco as long as the child lives in the home.
Fetal nicotine syndrome may cause complications in the newborn.
The sidestream/secondhand smoke that the baby is exposed to is more dangerous than the mainstream smoke that the parents are inhaling themselves.
The Correct Answer is D
Choice A rationale
It is scientifically incorrect to suggest that infants exposed to tobacco smoke will develop tolerance. Tobacco smoke contains harmful chemicals such as nicotine and carbon monoxide, which can damage developing lungs and increase the risk of respiratory illnesses and sudden infant death syndrome (SIDS). Tolerance does not mitigate these risks.
Choice B rationale
Chewing tobacco still contains nicotine and carcinogens. Although it reduces exposure to sidestream smoke, it still poses risks for nicotine addiction and poisoning, particularly through secondhand exposure and accidental ingestion by children. This recommendation is not supported by scientific evidence.
Choice C rationale
Fetal nicotine syndrome, also known as neonatal nicotine withdrawal, can result from prenatal tobacco exposure. However, this syndrome primarily affects babies exposed to nicotine in utero. Postnatal exposure to tobacco smoke is linked to other complications such as respiratory infections and SIDS, which are immediate concerns.
Choice D rationale
Sidestream smoke, emitted from the burning end of a cigarette, contains higher concentrations of carcinogens and toxins compared to mainstream smoke inhaled by the smoker. Infants exposed to secondhand smoke are at greater risk for respiratory conditions, SIDS, and developmental issues due to these higher concentrations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Tertiary prevention involves strategies aimed at managing and improving outcomes of existing health conditions, such as assessing and supporting survivors of trauma like post-traumatic stress syndrome.
Choice B rationale
Policy development is not a level of prevention; it involves creating frameworks to promote public health interventions rather than focusing on individual care.
Choice C rationale
Primary prevention focuses on preventing the occurrence of disease or trauma through measures like immunizations or lifestyle changes before health issues arise.
Choice D rationale
Secondary prevention entails early detection and intervention for diseases or conditions to prevent progression, such as screening tests.
Correct Answer is B
Explanation
Choice A rationale
Primary prevention involves actions like immunizations and education to prevent diseases or issues before they occur. Drug screening is not aimed at preventing drug use but detecting it early.
Choice B rationale
Secondary prevention focuses on early detection and intervention to reduce the progression of disease or complications. Drug screening detects drug use early to prevent worsening outcomes, making this action a secondary prevention method.
Choice C rationale
Combining primary and secondary prevention involves overlapping strategies to prevent diseases and detect them early. Drug screening alone does not include primary preventive measures, so it cannot be classified as both.
Choice D rationale
Tertiary prevention is aimed at minimizing the impact of ongoing disease or injury, focusing on rehabilitation or management. Drug screening does not involve rehabilitating or managing drug-related complications.
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