A woman gives birth to a small infant with a malformed skull.
The infant grows abnormally slowly and shows signs of substantial cognitive and intellectual deficits.
The child also has facial abnormalities including a short nose and thin lip that become more striking as it develops.
What might you expect to find in the mother's pregnancy history?.

Active herpes simplex infection.

Chronic cocaine use.

Folic acid deficiency.

Chronic alcohol use.

Answer and Explanation

The Correct Answer is D

The correct answer is choice D. Chronic alcohol use.

Choice A rationale:

Active herpes simplex infection during pregnancy can lead to neonatal herpes, which is a serious condition, but it does not cause the symptoms described.

Choice B rationale:

Chronic cocaine use during pregnancy can lead to premature birth and low birth weight, but it does not typically result in the specific symptoms described.

Choice C rationale:

Folic acid deficiency during pregnancy can lead to neural tube defects, which can cause a range of symptoms, but not the specific ones described.

Choice D rationale:

Chronic alcohol use during pregnancy can lead to Fetal Alcohol Syndrome, which includes slow growth, cognitive and intellectual deficits, and the facial abnormalities described.

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Correct Answer is C

Explanation

The correct answer is choice C.

Choice A rationale:

While Vitamin E is important for many bodily functions, it is not the primary supplement recommended to prevent neural tube defects.

Choice B rationale:

Calcium is crucial for bone health, but it does not play a direct role in preventing neural tube defects.

Choice C rationale:

Folic acid is recommended for all people capable of becoming pregnant to consume 400 micrograms (mcg) daily to prevent neural tube defects (NTDs)3.

Choice D rationale:

Iron is important for preventing anemia, especially during pregnancy, but it does not prevent neural tube defects.

A. These contractions increase oxytocin sensitivity. B. These contractions increase the release of prostaglandins. C. These contractions make maternal breathing easier. D. These contractions help in softening and ripening the cervix.

Correct Answer is D

Explanation

The correct answer is choice D.

Choice A rationale:

While oxytocin sensitivity is important for labor, there is no evidence to suggest that Braxton Hicks contractions increase oxytocin sensitivity.

Choice B rationale:

Prostaglandins play a crucial role in labor by causing the cervix to soften and dilate and the uterus to contract. However, there is no evidence to suggest that Braxton Hicks contractions increase the release of prostaglandins.

Choice C rationale:

While maternal comfort is important during labor, there is no evidence to suggest that Braxton Hicks contractions make maternal breathing easier.

Choice D rationale:

Braxton Hicks contractions help in softening and ripening the cervix, which is an important part of preparing for labor.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client presents to the health care clinic for her first prenatal checkup.What nutritional supplement should the nurse discuss with the client to prevent neural tube defects in the developing fetus?

Correct Answer is C

Explanation

Correct Answer is D

Explanation

A nurse is providing teaching about newborn care to a client who is 2 hr postpartum.Which of the following statements by the client indicates a need for further teaching?

A nurse is caring for a pregnant client in labor in a health care facility.The nurse knows that which sign indicates that the patient is no longer in the first stage of labor?

A nurse is assessing a postpartum woman.Which behavior would the nurse interpret as an indication that the woman is entering the taking-hold phase of the postpartum period?

Which action would be a priority for the nurse to complete immediately after the delivery of a 40-week gestation newborn?.

A woman gives birth to a small infant with a malformed skull. The infant grows abnormally slowly and shows signs of substantial cognitive and intellectual deficits. The child also has facial abnormalities including a short nose and thin lip that become more striking as it develops.

A nurse is caring for a client who just delivered a newborn.Following the delivery, which nursing action should be done first to care for the newborn?

A nurse on the labor and delivery unit is caring for a client following a vaginal examination by the provider which is documented as: -1. Which of the following interpretations of this finding should the nurse make?