A young adult client is at 28 weeks' gestation. The prenatal history reveals past drug abuse, and urine screening indicates that she has recently used heroin
Which potential fetal health problem should the nurse use to select a nursing diagnosis to guide care?
A) Congenital anomalies
B) Abruptio placentae
C) Diabetes mellitus
D) Intrauterine growth restriction (IUGR)
Answer: D
Women who use heroin place the fetus at an increased risk for developing intrauterine growth restriction (IUGR). Congenital anomalies often occur with the use of lithium during pregnancy. Diabetes is an endocrine disorder that is unrelated to drug use and abuse. Abruptio placentae is a condition the mother can experience and is seen more commonly with cocaine and crack use.
You might also like to view...
A client visits a health care facility with complaints of work-related stress that alters her mood when she comes home
At the nurse's suggestion, the client states that she is open making changes to her home décor to include vibrant colors and bright lighting, and listen to soothing music when she returns home. Which stress-reducing technique is the nurse following in this case? A) Sensory manipulation technique B) Alternative thinking technique C) Nontherapeutic technique D) Alternative behavior technique
An 82-year-old client walked 2 miles last week to enjoy the spring weather. The client says since that time, "I haven't been doing very much, I'm afraid it will hurt." Which action by the nurse is most appropriate?
A) Discuss moderation in activity, encouraging continued movement. B) Obtain a cane for use to improve balance, and reduce the client's fears. C) Encourage the client to walk the 2 miles every day. D) Have the client take ibuprofen (Motrin IB) every morning.
Which neonate requires a close nursing assessment for the development of retinopathy of prematurity (ROP)?
1. 28-weeks'-gestation infant who has been on long-term oxygen and weighed 1400 g 2. 32-weeks'-gestation infant of African heritage with a congenital heart defect who needed no oxygen and weighed 1850 g 3. 28-weeks'-gestation female infant who was on short-term oxygen, weighed 1420 g, and was treated with phototherapy 4. 36-weeks'-gestation, small-for-gestational-age infant who was in an oxyhood for 12 hours and weighed 1800 g
Describe the action of cyclosporine and discuss the nutritional implications