Author Question: A mother arrives at a birth care center in full labor with no prenatal history. The mother states ... (Read 50 times)

misspop · **on:** Jun 27, 2018

A mother arrives at a birth care center in full labor with no prenatal history. The mother states she has a form of mental illness that requires her to take lithium daily.

The nurse knows that lithium use during pregnancy can cause which type of heart defect? 1. Hypoplastic left heart
2. Truncus arteriosus
3. An Epstein anomaly
4. Cardiomyopathy

Question 2

The nurse assessing the teeth of a 3-year-old would expect to find:

a. 10 teeth
b. 16 teeth
c. 20 teeth
d. 22 teeth

jessofishing · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

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1. There is no known reason for the development of a hypoplastic left heart.
2. Truncus arteriosus is not linked to use of lithium during pregnancy.
3. Maternal use of lithium has a strong correlation with an Epstein anomaly, which causes the tricuspid valve to be in the right ventricle, along with an enlarged right atrium and cardiomegaly.
4. Cardiomegaly occurs in an Epstein anomaly, but is not the direct defect.

Answer to Question 2

C
A 3-year-old child should have 20 teeth.