The nurse is holding a class for newly pregnant couples, and discussing good and bad influences on their baby
Prenatal influences on the intrauterine environment include which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The use of saunas or hot tubs
2. The use of drugs
3. The quality of the sperm or ovum
4. Maternal nutrition
5. Vitamins and folic acid
1,2,4,5
Rationale 1: The use of saunas or hot tubs is associated with maternal hyperthermia, and can cause CNS defects and failure of neural tube closure.
Rationale 2: The use of drugs can have teratogenic effects.
Rationale 3: The quality of the sperm or ovum will affect embryonic development but not necessarily affect the intrauterine environment.
Rationale 4: Maternal nutrition, if deficient, can cause damage to the fetus.
Rationale 5: Vitamins and folic acid taken prior to and during the pregnancy can have beneficial effects.
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Which assessment would be important for a 6-hour-old infant who has bruising over the cheeks from a forceps birth?
a. Presence of newborn reflexes b. Symmetry of facial movements c. Caput and molding of the head d. Anterior and posterior fontanels
A client has just had his status changed to "comfort care only." The nurse recognizes that the client is spiritually distressed. The nurse understands that spiritual pain
a. cannot be inferred from the client's behavior. b. is not as severe as physical pain. c. cannot be verbally shared. d. can be as severe as physical pain.
The nurse is assessing the muscle stretch reflexes on a client who has repeatedly demonstrated 3+ responses. The nurse recognizes the implication of this data to mean that:
1. While brisk, it may be normal for this client. 2. This is a below-normal response. 3. There is indication of central nervous system dysfunction. 4. This is generally considered a normal response.
Which are examples of environmental health awareness? Select all that apply
A. Advocating legislation to require use of recyclable bags in department and discount stores. B. Helping raise funds for a lead screening program in the inner city schools. C. Including questions related to occupation of family members in health histories. D. Adopting political action to require the local school board to ensure each playground has soft cushioning material under swings and climbing equipment. E. Recognizing that health promotion requires each individual to accept personal responsibility. F. Speaking to high school groups about using sunscreen when on the beach.