The nurse should teach a pregnant woman that which substances are teratogens? (Select all that apply.).
Cigarette smoke.
Isotretinoin (Retin A).
Vitamin C.
Salicylic acid.
Rubella.
Correct Answer : A,B,E
Choice A rationale:
Cigarette smoke contains harmful chemicals that can cause birth defects and other complications during pregnancy. Pregnant women should avoid exposure to cigarette smoke to protect the developing fetus.
Choice B rationale:
Isotretinoin (Retin A) is a medication used to treat severe acne. It is known to cause severe birth defects and should be avoided during pregnancy. Women of childbearing age who are prescribed isotretinoin must use effective contraception to prevent pregnancy while taking the medication.
Choice C rationale:
Vitamin C, also known as ascorbic acid, is a water-soluble vitamin that is essential for various bodily functions. It is not a teratogen and is safe for consumption during pregnancy in recommended amounts. In fact, pregnant women are encouraged to consume an adequate amount of vitamin C to support their overall health and the development of the baby.
Choice D rationale:
Salicylic acid is commonly found in skincare products and is used to treat acne. While oral use of high doses of salicylic acid during pregnancy can be harmful, the small amounts used in topical skincare products are generally considered safe. However, it's advisable for pregnant women to use salicylic acid-containing products in moderation.
Choice E rationale:
Rubella, also known as German measles, is a contagious viral infection that can cause birth defects if a pregnant woman becomes infected, especially during the early stages of pregnancy. Rubella vaccination before pregnancy is recommended to prevent congenital rubella syndrome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Signs of stress can indeed manifest in various ways, including stomach pains and changes in behavior. However, in this scenario, the child's symptoms of stomach pains, aggression, and stubbornness might indicate a physical problem causing emotional stress. It's essential to consider other possibilities before attributing the symptoms solely to stress.
Choice B rationale:
Developmental delay could be a potential cause of behavioral issues in a child, but it doesn't explain the stomach pains. Moreover, a developmental delay would typically have been identified earlier in the child's life through regular screenings and assessments.
Choice C rationale:
A physical problem causing emotional stress, such as an undiagnosed medical condition, can lead to both stomach pains and behavioral changes. Considering this possibility is crucial in this situation. It's essential to conduct a thorough physical examination and medical evaluation to rule out any underlying health issues.
Choice D rationale:
Lack of adjustment to the school environment could contribute to behavioral problems in a child. However, it's essential to first investigate the physical symptoms, like stomach pains, before solely attributing the behavior to school adjustment issues. Physical health should be thoroughly assessed to rule out any medical causes for the symptoms.
Correct Answer is ["A","B","D","E"]
Explanation
Choice A rationale:
Identification of fetal heartbeat (Choice A) is a positive sign of pregnancy. This can be detected using a Doppler device or ultrasound, confirming the presence of a living fetus.
Choice B rationale:
Palpation of fetal outline (Choice B) is another positive sign of pregnancy. Experienced healthcare providers can palpate the fetus through the abdominal wall, feeling its shape and movements.
Choice D rationale:
Verification of fetal movement (Choice D) is also a positive sign of pregnancy. Feeling fetal movements, known as quickening, is an indication of a viable pregnancy.
Choice E rationale:
A positive human chorionic gonadotropin (hCG) test (Choice E) confirms pregnancy. hCG is a hormone produced by the placenta and is present in the blood and urine of pregnant women.
Choice C rationale:
Visualization of the fetus (Choice C) through methods like ultrasound is a positive sign of pregnancy, but it is not typically used for diagnosis in early pregnancy. Palpation of fetal outline and identification of fetal heartbeat are more reliable positive signs.
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