The nurse is admitting a prenatal patient for diagnostic testing
While eliciting the psychosocial history, the nurse learns the patient smokes a pack of cigarettes daily, drinks a cup of cappuccino with breakfast, has smoked marijuana in the remote past, and is a social drinker. Which action should the nurse first take?
a. Strongly advise immediate tobacco cessation
b. Elimination of all caffeinated beverages
c. Serum and urine testing for drug use and alcohol use
d. Referral to a 12-step program
ANS: A
There are numerous risk factors for women and men affecting reproductive health and pregnancy outcomes. These can be categorized into biophysical, psychosocial, sociodemographic, and environmental factors. Some of the risk factors for human reproduction fit into multiple categories. Psychosocial factors cover smoking, excessive caffeine, alcohol and drug abuse, psychologic status including impaired mental health, addictive lifestyles, spouse abuse, and noncompliance with cultural norms. Drinking a cup of a caffeinated beverage a day is not associated with adverse fetal outcomes usually. Serum and urine testing for drug/alcohol use is not required for stated marijuana use in the remote past. Patient referral to a 12-step program is usually advisable for current alcohol and/or drug use.
You might also like to view...
A patient's parish priest arrives to the care area to visit the patient and provide communion. What impact does the priest's visit have on the patient's health?
A. Offers support and provides positive expectation B. Reinforces distinctiveness C. Reinforces acculturation D. Reinforce assimilation.
The perinatal nurse tells the student nurse that Asian infants may develop hyperbilirubinemia in the immediate postpartum period
As a form of prevention, the perinatal nurse encourages all women of Asian descent to provide their infants with formula supplementation. This approach is a form of: A) Racism B) Stereotyping C) Cultural sensitivity D) Individual care planning
Nurses understand there are inherent risks in making decisions. These are all risks except:
a. there will always be more information to gather and analyze. b. information must be researched and complete. c. time constraints and priority setting. d. information is never complete.
The National Mental Health Act was signed into law in 1946 . This bill provided training grants that funded specialty training at the graduate level
The reason that the first graduate nursing program was in the specialty of psychiatric nursing might be related to the fact that: A) People began to view mental illness as more commonplace and acceptable during WWII. B) The biologic understanding of mental illness was almost fully developed as a result of WWII. C) Deinstitutionalization spawned by the community health movement, demanding increased numbers of nurses. D) The U.S. population was rapidly aging and women entered the work force in record numbers.