Which factors in the maternal medical history should cause the ...

[Haya94]

Which factors in the maternal medical history should cause the nurse concern regarding the development of cleft lip or cleft palate during pregnancy? Select all that apply.
 
  1. Cigarette smoking
  2. Alcohol use
  3. Excessive folate intake
  4. Glucocorticoid use
  5. Anticoagulant use

Question 2

. While making rounds, the nurse observes all of the following client behaviors. Which child should the nurse further evaluate for postoperative pain?
 
  1. The 6-month-old in deep sleep.
  2. The 2-year-old who is cooperative when the nurse takes vital signs.
  3. The 4-year-old who is actively watching cartoons.
  4. The 14-month-old who is thrashing his arms and legs.

[aliotak]

Answer to Question 1

1, 2, 4
Explanation:
1. Cigarette smoking during pregnancy is a risk factor for cleft lip and cleft palate.
2. Alcohol use during pregnancy is a risk factor for cleft lip and cleft palate.
3. Excessive folate intake is not a risk factor for cleft lip and cleft palate. A folate deficiency is often the cause for these disorders.
4. Glucocorticoid use is a risk factor for cleft lip and cleft palate.
5. Anticoagulant use is not a risk factor for cleft lip and cleft palate.

Answer to Question 2

4
Explanation:
1. Children are unable to obtain deep sleep when experiencing acute pain.
2. When experiencing acute pain, children are less likely to cooperate with treatments.
3. It is difficult for children to concentrate when experiencing acute pain.
4. Young children in acute pain display a variety of behaviors, including loud crying, screaming, thrashing their arms and legs, lack of cooperation, clinging behavior, and restlessness and irritability.