A nurse assesses the pregnant woman for recreational drug use as part of the first prenatal visit. What harmful effects of recreational drugs does the nurse teach the woman about? (Select all that apply.)
A.
Cocaine: placenta previa
B.
Ecstasy: cleft palate
C.
Marijuana: intrauterine growth restriction
D.
Methamphetamine: spontaneous abortion
E.
Heroin: macrosomia
ANS: B, C, D
Approximately 3% of pregnant women use nonprescription drugs such as cocaine, Ecstasy, marijuana, methamphetamines, and heroin. Ecstasy can cause congenital abnormalities such as cleft palate. Marijuana can cause intrauterine growth restriction. Methamphetamines can cause spontaneous abortion. Cocaine can cause placental abruption (not previa). Heroin can lead to spontaneous abortion, intrauterine growth restriction, preterm labor/birth, or stillbirth.
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The nurse is performing a breast assessment of an Asian adult female. Which of the following should the nurse do first?
1. Ask the client if she has ever had any breast disease such as cancer of the breast, fibrocystic disease, or fibroadenoma. 2. Ask the client to disrobe from the waist up and place a gown on with the opening to the front. 3. Ask the client if she has noticed any changes in her breasts such as lumps, thickening, or discharge from the nipples. 4. Ask the client how she feels about her breasts.
A patient wants to use an herbal preparation to help with decreased sleep. What response by the nurse is best?
a. "There are no research studies on these herbal preparations." b. "Why don't you try exercise during the day first?" c. "Have you had a physical exam any time recently?" d. "Why do you want to use an herbal prod-uct for insomnia?"
A person has an ileostomy. Which statement is correct?
a. Part of the colon was removed. b. Feces are solid in consistency. c. Feces drain constantly from the ileostomy. d. Water is absorbed before feces are ex-pelled into the pouch.
The National Institute of Nursing Research (NINR) was established following a study in 1983. The center's purpose is to:
A) advance the level of nursing research funding. B) investigate and expand nursing theory. C) promote research for health promotion. D) evaluate the effect of current research.