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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice C.
Choice A rationale:
Notifying the provider is not necessary in this case as the findings are normal for a client who is 1 hour postpartum.
Choice B rationale:
Increasing the frequency of fundal massage is not necessary as the fundus is firm and at the umbilicus.
Choice C rationale:
The findings are normal for a client who is 1 hour postpartum. The nurse should document the findings and continue to monitor the client. Therefore, this choice is correct.
Choice D rationale:
Encouraging the client to empty her bladder is not necessary in this case as the fundus is midline.
Correct Answer is B
Explanation
The correct answer is choice B.
Choice A rationale:
Placing a baby on their stomach while sleeping is not recommended due to the risk of Sudden Infant Death Syndrome (SIDS).
Choice B rationale:
Removing extra blankets from the crib is a safety measure to prevent suffocation and overheating, which can lead to SIDS.
Choice C rationale:
Padding the mattress in the crib can pose a suffocation risk for the baby.
Choice D rationale:
It’s recommended for newborns to sleep in the same room as their parents for at least the first six months to reduce the risk of SIDS.
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