The nurse is caring for a pregnant woman who admits to cocaine and ecstasy use on a regular basis. The patient states, "Everybody knows that alcohol is bad during pregnancy, but what's the big deal about ecstasy?"
The best response by the nurse is: "Ecstasy:
1. "Can cause a high fever in you and therefore cause the baby harm."
2. "Leads to deficiencies of thiamine and folic acid, which help the baby develop."
3. "Produces babies with small heads and short bodies with brain function alterations."
4. "Produces intrauterine growth restriction and meconium aspiration."
Correct Answer: 1
Rationale 1: High body temperature is a side effect of MDMA (ecstasy). Increased body temperature increases fetal oxygen needs, which can lead to hypoxia and subsequent brain and major organ damage.
Rationale 2: Alcohol, not ecstasy, causes deficiencies of thiamine and folic acid. Folic acid helps prevent neural tube defects.
Rationale 3: Cocaine causes these fetal effects, not ecstasy.
Rationale 4: Heroin causes these fetal effects, not ecstasy.
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