A patient at 24 weeks of gestation says she has a glass of wine with dinner every evening. The nurse will counsel her to eliminate all alcohol intake because:
a daily consumption of alcohol indicates a risk for alcoholism.
she will be at risk for abusing other substances as well.
the fetus is at risk for multiple organ anomalies.
the fetus is placed at risk for altered brain growth.
The Correct Answer is D
Choice A reason: A daily consumption of alcohol does not necessarily indicate a risk for alcoholism, although it is not recommended for pregnant women. Alcoholism is a chronic disease that involves physical and psychological dependence on alcohol, and it requires more than one criterion to be diagnosed.
Choice B reason: She will not be at risk for abusing other substances as well, unless she has a history or predisposition for substance abuse. Alcohol use during pregnancy does not cause other substance abuse problems, although it may co-occur with them.
Choice C reason: The fetus is not at risk for multiple organ anomalies, unless the mother consumes large amounts of alcohol during the first trimester of pregnancy. This can cause fetal alcohol syndrome (FAS), which is characterized by facial dysmorphia, growth retardation, and intellectual disability. However, FAS is rare and not related to moderate alcohol intake during the second trimester.
Choice D reason: The fetus is placed at risk for altered brain growth, as alcohol can cross the placenta and affect the developing nervous system of the fetus. Alcohol exposure during the second trimester can impair the formation and migration of neurons, leading to reduced brain size and function. This can result in learning difficulties, behavioral problems, and cognitive impairments in the child.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: She will not be unable to conceive in the future, as ectopic pregnancy does not necessarily affect her fertility. However, she may have a higher risk of having another ectopic pregnancy or infertility if the fallopian tube is damaged or removed.
Choice B reason: A D&C (dilation and curettage) will not be performed to remove the products of conception, as this procedure is used to empty the uterus, not the fallopian tube. The treatment for ectopic pregnancy may include medication, surgery, or expectant management, depending on the location, size, and viability of the pregnancy.
Choice C reason: Bed rest and analgesics are not the recommended treatment for ectopic pregnancy, as they do not address the underlying cause or prevent complications. Ectopic pregnancy is a medical emergency that requires prompt intervention to prevent rupture, bleeding, and shock.
Choice D reason: Hemorrhage is the major concern for ectopic pregnancy, as the pregnancy can rupture the fallopian tube and cause severe bleeding into the abdominal cavity. This can lead to hypovolemic shock, which is a life-threatening condition.
Correct Answer is A
Explanation
Choice A reason: Intense abdominal pain is the most prevalent clinical manifestation of abruptio placentae, as it indicates the detachment of the placenta from the uterine wall and the bleeding into the uterine muscle. The pain can be localized or diffuse, and it can be constant or intermittent. The pain can also radiate to the back or the shoulder.
Choice B reason: Cramping is not the most prevalent clinical manifestation of abruptio placentae, as it is not specific to the condition. Cramping can occur in normal pregnancy or in other complications such as preterm labor, infection, or cervical insufficiency.
Choice C reason: Uterine activity is not the most prevalent clinical manifestation of abruptio placentae, as it is not specific to the condition. Uterine activity can occur in normal pregnancy or in other complications such as preterm labor, infection, or placenta previa.
Choice D reason: Bleeding is not the most prevalent clinical manifestation of abruptio placentae, as it may or may not be present. Bleeding can be concealed or revealed, depending on the location and extent of the placental separation. Concealed bleeding occurs when the blood is trapped behind the placenta and does not exit the vagina. Revealed bleeding occurs when the blood passes through the cervix and exits the vagina.
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