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Questions 158

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Question 1 of 5

The nurse is teaching a group of prenatal clients about the effects of cigarette smoke on fetal development. Which characteristic is associated with babies born to mothers who smoked during pregnancy?

Correct Answer: A

Rationale: Smoking during pregnancy restricts placental blood flow leading to low birth weight. Babies are not typically large and while preterm birth or growth retardation may occur low birth weight is the most consistent finding.

Question 2 of 5

A client with a history of peptic ulcer disease is admitted with severe abdominal pain. Which medication would the nurse expect to administer?

Correct Answer: B

Rationale: Omeprazole, a proton pump inhibitor, reduces acid production, aiding ulcer healing. Ibuprofen (
A) and aspirin (
C) worsen ulcers, and acetaminophen (
D) addresses pain but not acid.

Question 3 of 5

What information should the nurse give a new mother regarding the introduction of solid foods for her infant?

Correct Answer: B

Rationale: Introducing solid foods one at a time with 4-7 day intervals allows identification of allergies. The extrusion reflex fades by 4-6 months, and mixing in bottles or starting with fruits is not recommended.

Question 4 of 5

The client at 35 weeks gestation is admitted with a diagnosis of vasa previa. The nurse should monitor for which complication?

Correct Answer: A

Rationale: Vasa previa involves fetal blood vessels crossing the cervical os risking rupture and fetal bleeding during labor or membrane rupture. Maternal hemorrhage preterm labor and macrosomia are less directly related.

Question 5 of 5

A 27-year-old man was diagnosed with type I diabetes 3 months ago. Two weeks ago he complained of pain, redness, and tenderness in his right lower leg. He is admitted to the hospital with a slight elevation of temperature and vague complaints of 'not feeling well.' At 4:30 PM on the day of his admission, his blood glucose level is 50 mg; dinner will be served at 5:00 PM. The best nursing action would be to:

Correct Answer: C

Rationale: Four ounces of orange juice will raise blood sugar to a normal level and sustain it until dinner, preventing hypoglycemia. The other options either raise blood sugar too high or are insufficient.

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