The nurse is assessing a woman at 10 weeks' gestation who is addicted to alcohol
The woman asks the nurse, "What is the point of stopping drinking now if my baby probably has been hurt by it already?" What is the best response by the nurse? 1. "It won't help your baby, but you will feel better during your pregnancy if you stop now.".
2. "If you stop now, you can still have a normal pregnancy.".
3. "If you limit your drinking to once a week, your baby will be okay.".
4. "You might as well stop it now, because once your baby is born, you'll have to give up alcohol if you plan on breastfeeding.".
2
Rationale 1: The baby's well-being, not the mother's feelings, is the primary issue. Alcohol withdrawal during pregnancy can still result in a normal pregnancy if abstinence is practiced.
Rationale 2: Women who suffer alcohol addiction or abuse and who are contemplating pregnancy should be encouraged to undergo withdrawal prior to conception. However, alcohol withdrawal during pregnancy can still result in a normal pregnancy if abstinence is practiced.
Rationale 3: There is no definitive answer as to how much alcohol a woman can safely consume during pregnancy. Even low levels of alcohol should be avoided during pregnancy.
Rationale 4: Breastfeeding generally is not contraindicated, although alcohol is excreted in breast milk. It is more important for the woman to stop drinking during pregnancy than while breastfeeding.
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What disorder of the anus is this patient likely to have?
A 42-year-old house painter comes to your clinic, complaining of pain with defecation and profuse bleeding in the toilet after a bowel movement. He was in his usual state of health until 2 weeks ago, when he was injured in a car accident. After the accident he began taking prescription narcotics for the pain in his shoulder. Since then he has had very few bowel movements. His stool is hard and pebble-like. He states he has always been “regular” in the past, with easy bowel movements. His diet has not changed but he states that he is exercising less since the accident. His past medical history includes hypertension and he is on a low-dose diuretic. He has had no other chronic illnesses or surgeries. He has a family history of hypertension, coronary heart disease, and diabetes but no cancer. He is divorced and has three children. He smokes two packs of cigarettes per day and quit drinking more than 10 years ago. He has had no recent weight loss, weight gain, fever, or night sweats. On examination he appears muscular and healthy; he is afebrile. His blood pressure is 135/90 with a pulse of 80. His cardiac, lung, and abdominal examinations are normal. He is wearing a sling on his left arm. On observation of his anus you find a swollen bluish ovoid mass that appears to contain a blood clot. Digital rectal examination is extremely painful for the patient. No other mass is palpated within the anus or rectum. A) Anal fissure B) External hemorrhoid C) Anorectal cancer D) Internal hemorrhoid
The nurse is reviewing the medication administration record to verify medications at the start of the shift. The nurse notes a new order for diphenoxylate. What assessment finding would cause the nurse to withhold the medication?
a. Dehydration b. Diarrhea c. Constipation d. Dizziness
The United States Supreme Court made birth control legal for married couples in:
1. 1920—when women won the right to vote 2. 1921—when Margaret Sanger organized the American Birth Control League 3. 1942—when the American Birth Control League evolved into the Federation of Planned Parenthood 4. 1965—due to Griswold vs. Connecticut
Muscles and bones are subject to various injuries. When a muscle is stretched, a(n) ________ occurs.
Fill in the blank(s) with the appropriate word(s).