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.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","E","F"]

Explanation

The correct answers are choices B, E, and F.

Choice A rationale:

Nausea with vomiting during the first trimester is a common symptom of pregnancy and does not need to be reported immediately to the health care provider.

Choice B rationale:

Sudden leakage of fluid during the second trimester could indicate premature rupture of membranes, which can lead to infection and preterm labor. This should be reported immediately.

Choice C rationale:

Urinary frequency in the third trimester is a common symptom of pregnancy due to the growing uterus putting pressure on the bladder.

Choice D rationale:

Backache during the second trimester is a common symptom of pregnancy as the body adjusts to the growing uterus.

Choice E rationale:

Lower abdominal pain with shoulder pain in the first trimester could indicate an ectopic pregnancy, which is a medical emergency and should be reported immediately.

Choice F rationale:

Headache with visual changes in the third trimester could indicate preeclampsia, a serious condition that can lead to seizures, stroke, and other complications. This should be reported immediately.

A. She did her perineal care independently. B. She is eager to talk about her birth experience. C. She has not asked for anything for pain all day. D. She sits and rocks her infant for long intervals.

Correct Answer is A

Explanation

The correct answer is choice A. She did her perineal care independently.

Choice A rationale:

Taking the initiative for caring for her newborn independently while managing her own postpartum needs marks the taking-hold phase of infant bonding.

Choice B rationale:

Being eager to talk about her birth experience is more associated with the taking-in phase, not the taking-hold phase.

Choice C rationale:

Not asking for anything for pain all day is not a specific indicator of the taking-hold phase.

Choice D rationale:

Sitting and rocking her infant for long intervals is not a specific indicator of the taking-hold phase.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing a teaching plan for a pregnant woman about the signs and symptoms to be reported immediately to her health care provider.Which signs and symptoms would the nurse include? Select all that apply.

Correct Answer is ["A","E","F"]

Explanation

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?

Correct Answer is A

Explanation

A nurse is discussing postpartum depression with a newly licensed nurse.Which of the following statements by the newly licensed nurse indicates an understanding of this condition?.

A client in the third stage of labor has experienced placental separation and expulsion.Why is it necessary for a nurse to massage the woman's uterus briefly until it is firm?.

A nurse in a clinic is caring for a client who is 3 weeks postpartum following the birth of a healthy newborn.The client reports feeling "down" and sad, having no energy, and wanting to cry.Which of the following is a priority action by the nurse?.

At what time is the laboring client encouraged to push?

Encouraging routine prenatal visits is an important function for nurses to ensure the clients avoid complications or difficulties throughout the pregnancy and birth.The nurse would prepare to screen clients for gestational diabetes at which time during the pregnancy?

A nurse is teaching a client about positive signs of pregnancy.Which of the following findings should the nurse include?

A nurse is providing teaching about comfort measures for breast engorgement to a client who is postpartum and is breastfeeding.Which of the following statements by the client indicates a need for further teaching?.