The nurse is preparing a presentation about causes of fetal organ malformation in the first trimester. What prenatal influences on the intrauterine environment should be included in this teaching? Select all that apply

1. The use of drugs
2. Maternal nutrition
3. The use of saunas or hot tubs
4. Age of the mother at conception
5. The quality of the sperm or ovum


1, 2, 3
Explanation:
1. Many drugs can have teratogenic effects.
2. Maternal nutrition, if deficient, can cause damage to the fetus. Vitamins and folic acid taken prior to and during the pregnancy can have beneficial effects.
3. The use of saunas or hot tubs is associated with maternal hyperthermia and neural tube defects.
4. A maternal age of 35 or older is associated with genetic defects that occur at conception, not with first-trimester organ malformation.
5. The quality of the sperm or ovum can affect fertility but not organ formation.

Nursing

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The nurse is providing preoperative teaching to her patient. Which of the following interventions provide the patient with the most accurate information?

A) Instruct the patient to stop taking St. John's wort at least two weeks prior to surgery due to its interaction with anesthetic agents. B) Instruct the patient to continue taking ephedrine prior to surgery due to its effect on blood pressure. C) Instruct the patient to discontinue synthroid due to its effect on blood coagulation and potential heart dysrhythmias. D) Instruct the patient to continue any herbal supplements and inform the patient they have no effect on the surgical procedure.

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The nurse realizes that the primary focus of nursing is on the:

a. illness. b. cause of the illness. c. treatment of the illness. d. client's response to the illness.

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The nurse is documenting the findings of an abdominal assessment on a client and documents the following information, "pain noted during palpation at McBurney's point.". In which of the following ways did the nurse elicit this response?

1. The nurse lightly palpated the around the client's umbilicus. 2. The nurse pressed into the client's abdomen and then pulled his hand back quickly. 3. The nurse palpated over the client's spleen. 4. The nurse palpated the area between the client's ileum and umbilicus in the client's right lower quadrant.

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