The nurse is caring for a pregnant woman who admits to using cocaine and ecstasy on a regular basis

The patient states, "Everybody knows that alcohol is bad during pregnancy, but what's the big deal about ecstasy?" The best response by the nurse is: 1. "Ecstasy can cause a high fever in you and therefore cause the baby harm."
2. "Ecstasy leads to deficiencies of thiamine and folic acid, which help the baby develop."
3. "Ecstasy produces babies with small heads and short bodies with brain function alterations."
4. "Ecstasy produces intrauterine growth restriction and meconium aspiration."


1
Rationale 1: High body temperature is a side effect of MDMA (ecstasy). Increased body temperature increases fetal oxygen needs, which can lead to hypoxia and subsequent brain and major organ damage.
Rationale 2: Alcohol, not ecstasy, causes deficiencies of thiamine and folic acid. Folic acid helps prevent neural tube defects.
Rationale 3: Cocaine, not ecstasy, causes these fetal effects.
Rationale 4: Heroin, not ecstasy, causes these fetal effects.

Nursing

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Quality is defined by the ____________

Fill in the blank with the correct words.

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1. respite care service 2. chore service 3. homemaker service 4. home health care service

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The nurse assesses that the client has torticollis and that this may adversely influence the client's mobility. This individual has a(n):

1. Exaggeration of the lumbar spine curvature 2. Increased convexity of the thoracic spine 3. Abnormal anteroposterior and lateral curvature of the spine 4. Contracture of the sternocleidomastoid muscle with a head incline

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