The most dangerous effect on the fetus of a mother who smokes cigarettes while pregnant is
a. Genetic changes and anomalies
b. Extensive central nervous system damage
c. Fetal addiction to the substance inhaled
d. Intrauterine growth restriction
D
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A Cigarettes normally will not cause genetic changes.
B Cigarettes normally will not cause extensive central nervous system damage.
C Addiction is not a normal concern with the neonate.
D The major consequences of smoking tobacco during pregnancy are
low-birth-weight infants, prematurity, and increased perinatal loss.
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In evaluating for pancreatitis, the nurse will assess for
A) amylase and lipase elevations. B) a decreased bilirubin level. C) decreased white blood cell (WBC) and blood glucose levels. D) hyperkalemia and hypercalcemia.
The patient with a normal pre-pregnancy weight asks why she has been told to gain 25–35 pounds during her pregnancy, but her underweight friend was told to gain more weight
The nurse should tell the patient that recommended weight gain during pregnancy should be: 1. 25–35 pounds, regardless of a patient's pre-pregnant weight. 2. More than 25–35 pounds for an overweight patient. 3. More than 25–35 pounds for an underweight woman. 4. The same for a normal-weight woman as for an overweight woman.
A child with spina bifida requires home catheterization. The child is now old enough to learn how to perform this procedure himself. The child is taught:
a. Clean the tip of the penis with soap and water or Betadine b. Insert catheter 3 inches c. Do not lubricate catheter if reusing d. Catheter must not ever be re-used
A patient in the clinic reports taking a handful of acetaminophen extra-strength tablets about 12 hours prior. The patient has nausea, vomiting, malaise, and drowsiness
The patient's aspartate aminotransferase and alanine aminotransferase are mildly elevated. The primary care NP should: a. expect the patient to sustain permanent liver damage. b. reassure the patient that these symptoms are reversible. c. tell the patient that acetylcysteine cannot be given this late. d. administer activated charcoal to remove acetaminophen from the body.