Wednesday, January 15, 2014

NCLEX Question Healthy Behavior during Pregnancy

After a prenatal class on healthy behaviors during pregnancy, the nurse can evaluate that learning has occurred when a client states,
 
a.    “Alcohol in the first trimester of pregnancy is very dangerous, later it’s OK.”
b.    “Drinking alcohol during pregnancy is the most preventable cause of mental retardation”
c.    “Alcohol is bad during pregnancy, but a little with breast feeding helps with let-down
d.    “problems for the baby usually only occur with heavy drinking of alcohol.

Correct Answer B. Prenatal alcohol exposure is a preventable cause of birth defects and neurodevelopmental deficits; it is the leading most preventable cause of mental retardation.
 
Research confirms that infants suffer more severe abnormalities the earlier alcohol consumption occurs during gestation; but alcohol consumption in late pregnancy is also associated with intrauterine growth retardation and preterm delivery.
 
Women should not drink any alcohol when breast feeding.  It can cause drowsiness, weakness, decrease in linear growth, and abnormal weight gain in the infant; it may also decrease milk ejection.
 
No safe level has been determined for alcohol consumption during pregnancy.

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