The nurse is assessing a woman at 10 weeks' gestation who is ...

[Jipu 123]

The nurse is assessing a woman at 10 weeks' gestation who is addicted to alcohol.
 
  The woman asks the nurse, What is the point of stopping drinking now if my baby probably has been hurt by it already? What is the best response by the nurse? 1. It won't help your baby, but you will feel better during your pregnancy if you stop now..
  2. If you stop now, you can still have a normal pregnancy..
  3. If you limit your drinking to once a week, your baby will be okay..
  4. You might as well stop it now, because once your baby is born, you'll have to give up alcohol if you plan on breastfeeding..

Question 2

The nurse should explain to new parents that their infant's position should be changed periodically during the early months of life to prevent:
 
  1. Muscle contractures.
  2. Respiratory distress.
  3. Permanently flattened areas of the skull.
  4. Esophageal reflux.

[leannegxo]

Answer to Question 1

2
Rationale 1: The baby's well-being, not the mother's feelings, is the primary issue. Alcohol withdrawal during pregnancy can still result in a normal pregnancy if abstinence is practiced.
Rationale 2: Women who suffer alcohol addiction or abuse and who are contemplating pregnancy should be encouraged to undergo withdrawal prior to conception. However, alcohol withdrawal during pregnancy can still result in a normal pregnancy if abstinence is practiced.
Rationale 3: There is no definitive answer as to how much alcohol a woman can safely consume during pregnancy. Even low levels of alcohol should be avoided during pregnancy.
Rationale 4: Breastfeeding generally is not contraindicated, although alcohol is excreted in breast milk. It is more important for the woman to stop drinking during pregnancy than while breastfeeding.

Answer to Question 2

3
Rationale 1: Preventing muscle contractures is not the rationale for periodically changing the infant's position.
Rationale 2: Respiratory distress would indicate complications, and would not be affected by periodic position changes.
Rationale 3: Permanently flattened areas of the skull can occur if the infant is consistently in one position, because the skull bones are soft in the early months of life.
Rationale 4: Esophageal reflux would indicate complications, and would not be affected by periodic position changes.