A pregnant woman presents in labor at term, having had no prenatal care. After birth, her infant is noted to be small for gestational age with small eyes, a thin upper lip, and microce-phaly
Based on her infant's physical findings, this woman should be questioned regarding her use of which substance during pregnancy? 1. Alcohol
2. Cocaine
3. Heroin
4. Marijuana
1
1. Correct. The description of the infant suggests fetal alcohol syndrome, consistent with maternal alcohol consumption during pregnancy.
2. Incorrect. Fetal brain, kidney, and urogenital system malformations have been associated with maternal cocaine ingestions.
3. Incorrect. Heroin use in pregnancy frequently results in IUGR. The infant may have a shrill cry and sleep cycle disturbances and may present with poor feeding, tachypnea, vomit-ing, diarrhea, hypothermia or hyperthermia, and sweating.
4. Incorrect. Studies have found a higher incidence of meconium staining in infants born of mothers who used marijuana during pregnancy.
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The laboring client requests pain medication. Her contractions are lasting 20–30 seconds and are occurring every 8–20 minutes. The nurse would explain that analgesics given at this time would likely cause:
1. Fetal respiratory depression. 2. Decreased analgesic effectiveness at the end of labor. 3. Maternal hypotension. 4. Prolonged labor.
Nursing care for a client with atopic dermatitis would focus primarily on
a. decreasing pain. b. decreasing pruritus. c. preventing infection. d. promoting drying of lesions.
Myocardial remodeling (such as hypertrophy and fibrosis) worsens heart failure. Which of the following class therapies is the most effective in slowing down the cardiac remodeling process?
A. Cardiac glycosides B. ACEIs C. ARBs D. CCAs E. Beta blockers F. Diuretics G. Renin inhibitors
During a prenatal visit the nurse notes that a client entering the third trimester has gained a total of 8 lb. What action should the nurse take at this time? Select all that apply
1. Assess for nausea. 2. Refer to a dietitian. 3. Suggest amniocentesis. 4. Assess nutritional intake. 5. Discuss importance of adequate weight gain.