A mother has just given birth to a baby boy. A nurse notes that the infant has a cleft palate and low-set, malformed ears. The mother is upset and wants to know what is wrong with her baby

The nurse's most appropriate answer would be
a. "Do you recall any medications that you took during the second trimester of your pregnancy?"
b. "Please don't be concerned, a cleft palate is not that uncommon and can be fixed."
c. "It is important that I take a medication history from you concerning medications that you took, if any, during your first trimester."
d. "Did you take any medications or herbal products during your last trimester?"


ANS: C
A cleft palate, low-set, malformed ears, and deafness typically are the result of teratogens consumed during the first trimester; therefore taking an accurate and complete medication history is important.
Telling the patient not to worry is condescending and does not validate her feelings.
A cleft palate would not develop during the second trimester, because the mouth and gut are formed at 7 to 12 weeks' gestation.
A cleft palate would not develop during the third trimester, because the mouth and gut are formed at 7 to 12 weeks' gestation.

Nursing

You might also like to view...

100.8 ° f = _____ ° c

a. 37.4 b. 39.7 c. 40.1 d. 38.2

Nursing

The nurse reminds the 40-year-old female patient that the American Cancer Society (ACS) recommendations for early detection of cancer include that she should:

a. get a Pap smear every year. b. get an annual fecal occult blood exam. c. plan a sigmoidoscopy every 5 years. d. have a mammogram done every year.

Nursing

A client is demonstrating a disorder involving the limbic system. Which physiological findings are associated with this disorder does the nurse anticipate upon assessment?

Standard Text: Select all that apply. 1. Rapid heart rate 2. High blood pressure 3. Peptic ulcer disease 4. Increased peristalsis 5. Slow respirations

Nursing

Which of the following statements by the nurse reflects a need for immediate follow-up regard-ing the physical effects of chronic pain on body function?

1. "His pulse and blood pressure are within his normal baseline limits, so I'm sure the pain medication is working." 2. "Please take his pulse and blood pressure, and let me know if they are elevated above his normal baselines." 3. "If his pulse and blood pressure are above his normal baseline, let me know, and I will medicate him for pain." 4. "Unmanaged pain usually manifests itself in both an elevated pulse and blood pressure."

Nursing