The clinic nurse advocates for smoking cessation during pregnancy. Potential harmful effects of prenatal tobacco use include (select all that apply):

a. Preterm birth
b. Gestational hypertension
c. Gestational diabetes
d. Low birth weight


ANS: a, d
Nurses can help to improve the fetal environment by educating women about the dangers of direct and passive smoking during pregnancy. Effects of tobacco use during pregnancy are well documented and predispose to premature rupture of the membranes, preterm labor, placental abruption, placenta previa, and infants who are low birth weight or small for gestational age (SGA). Gestational hypertension and diabetes are not associated with smoking during pregnancy.

Nursing

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A patient who is male-to-female (MTF) transgendered has been admitted to the unit, and this has resulted in much discussion among staff members. The nurse who is currently working with this patient should prioritize which of the following?

A) Assessing the patient's reasons for choosing to become transgendered B) Teaching the patient about common female reproductive disorders C) Remaining nonjudgmental and empathic when providing care D) Teaching the patient management strategies for depression and anxiety

Nursing

A research study offers elderly men who have, in the past, been prison inmates $1,500 for participation in an all-day workshop at which they agree to be hypnotized and tell stories of incarceration, which are later published

The research participants are allowed to listen to the tapes of what they say under hypnosis and to withdraw permission to use any part of the information. Why is this scenario a violation of self-determination? a. Allowing participants to withdraw permission to use part of the research information violates the study integrity and represents deception. b. It is an example of coercion. c. Prisoners are a vulnerable population and should not be used as research subjects. d. What is said under hypnosis may not be true.

Nursing

A patient receives aspart (NovoLog) insulin at 8:00 AM. Which time will it be most important for the nurse to monitor for symptoms of hypoglycemia?

a. 10:00 AM b. 12:00 AM c. 2:00 PM d. 4:00 PM

Nursing

A client has just had abdominal surgery, and the nurse is consulting with him about his diet now that he is allowed to eat. Which nutrient is most important for wound healing?

A) Carbohydrates B) Protein C) Fats D) Vitamins

Nursing