The mother of a baby born with a congenital heart defect is upset since no one else in the family was born with this condition. About which of the following should the nurse question the mother?
1. History of hypertension
2. Use of alcohol during the pregnancy
3. Father's exposure to toxins in the work environment
4. Maternal father's history of diabetes
2. Use of alcohol during the pregnancy
Rationale:
Most congenital heart defects occur during the first 8 weeks of pregnancy and are a combination of environmental and genetic factors. Fetal exposure to alcohol is one of the greatest factors for the development of these defects. A history of hypertension will not cause a fetus to develop a congenital heart defect. The father's exposure to toxins in the work environment is not known to cause congenital heart defects of children. The maternal father's history of diabetes also is not known to cause congenital heart defects in children.
You might also like to view...
After the examination of an infant, the nurse documents opisthotonos. The nurse recognizes that this finding often occurs with:
a. Cerebral palsy. b. Meningeal irritation. c. Lower motor neuron lesion. d. Upper motor neuron lesion.
A woman with diabetes is considering becoming pregnant. She asks the nurse whether she will be able to take oral hypoglycemics when she is pregnant. The nurse's response is based on the understanding that oral hypoglycemics:
A) can be used as long as they control serum glucose levels B) can be taken until the degeneration of the placenta occurs C) are usually suggested only for women who develop gestational diabetes D) are not prescribed as they may have teratogenic effects on the fetus
A couple expecting their first child has a positive family history for several congenital defects and disorders. The couple tells the nurse that they are opposed to abortion for religious reasons. Which should the nurse consider when counseling the couple
a. The couple should be encouraged to have recommended diagnostic testing. b. The couple needs counseling regarding advantages and disadvantages of pregnancy termination. c. Diagnostic testing is required by law in this situation. d. Diagnostic testing is of limited value if termination of pregnancy is not an option.
Time management is very essential for the nurse manager. Which of the following is not a good time-management technique?
a. Decide what not to do. b. Learn to say "No." c. Learn to delegate. d. Break down your workload into large manageable tasks.