A pregnant client who uses cocaine and ecstasy on a regular basis asks why ecstasy should not be used during pregnancy. What should the nurse explain about this drug?

1. "It produces intrauterine growth restriction and meconium aspiration."
2. "It leads to deficiencies of thiamine and folic acid, which help the baby develop."
3. "It produces babies with small heads and short bodies with brain function alterations."
4. "It can cause a high fever in you if high doses are taken and therefore cause the baby harm."


4
Explanation:
1. Heroin causes these fetal effects, not ecstasy.
2. Alcohol, not ecstasy, causes deficiencies of thiamine and folic acid. Folic acid helps prevent neural tube defects.
3. Cocaine causes these fetal effects, not ecstasy.
4. High body temperature is a side effect of MDMA (methylenedioxymethamphetamine: ecstasy). Increased body temperature increases fetal oxygen needs, which can lead to hypoxia and subsequent brain and major organ damage.

Nursing

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A nurse is reviewing the medical record of an older client with presbycusis. Which finding should the nurse expect to note in the client's record?

A. Unilateral conductive hearing loss B. Difficulty hearing low-pitched tones C. Difficulty hearing whispered words in the voice test D. Improved hearing ability during conversational speech

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Fill in the blank(s) with the appropriate word(s).

Nursing