A pregnant woman presents in labor at term, having had no prenatal care. After birth her infant is noted to be small for gestational age with small eyes and a thin upper lip. The infant also is microcephalic
On the basis of her infant's physical findings, this woman should be questioned about her use of which substance during pregnancy? a. Alcohol
b. Cocaine
c. Heroin
d. Marijuana
A
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A The description of the infant suggests fetal alcohol syndrome, which is consis-tent with maternal alcohol consumption during pregnancy.
B Fetal brain, kidney, and urogenital system malformations have been associated with maternal cocaine ingestions.
C Heroin use in pregnancy frequently results in intrauterine growth restriction. The infant may have a shrill cry and sleep cycle disturbances and present with poor feeding, tachypnea, vomiting, diarrhea, hypothermia or hyperthermia, and sweating.
D Studies have found a higher incidence of meconium staining in infants born of mothers who used marijuana during pregnancy.
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When intraabdominal pressure increases from laughing or sneezing in a woman with a cystocele, __________ ___________ results
ANS:
What most influences the severity of respiratory distress syndrome (RDS)?
a. Poor cough and gag reflex b. The gestational age at birth c. Administering high concentrations of oxygen d. The sex of the infant
Which of the following facts is noteworthy about adolescent males who are driving without a license in the countryside?
a. Most had driver's education classes but have not yet earned the money to pay for their driver's license test. b. Most were Hispanic or black from a rural area. c. Most were practiced in driving large farm machinery and were just going from one section of the farm to another section. d. Most were practicing their driving skills with their parent in the car.
The patient is being treated for angina. He asks the nurse if angina is the same thing as having a heart attack. What is the best response by the nurse?
1. "Severe emotional distress and panic can accompany angina." 2. "A heart attack, or myocardial infarction, means part of your heart has died." 3. "Actually, it depends on what type of angina you mean; there are several types." 4. "They are basically the same, but with angina, part of your heart dies." 5. "Angina is caused by insufficient oxygen to the myocardium."