A woman in the last trimester of pregnancy drinks 8 to 12 ounces ...

[vicky]

A woman in the last trimester of pregnancy drinks 8 to 12 ounces of alcohol daily. The nurse plans for the delivery of an infant who is:
 
  a. jaundiced
  b. dependent on alcohol
  c. healthy but underweight
  d. microcephalic and cognitively impaired

Question 2

A patient was admitted 48 hours ago for injuries sustained while intoxicated. The patient is shaky, irritable, anxious, and diaphoretic. The pulse rate is 130 beats per minute. The patient shouts, Bugs are crawling on my bed.
 
  I've got to get out of here. What is the most accurate assessment of the situation? The patient:
 
  a. is attempting to obtain attention by manipulating staff.
  b. may have sustained a head injury before admission.
  c. has symptoms of alcohol withdrawal delirium.
  d. is having a recurrence of an acute psychosis.

[coyin]

Answer to Question 1

ANS: D
Fetal alcohol syndrome is the result of alcohol's inhibiting fetal development in the first trimester. The fetus of a woman who drinks that much alcohol will probably have this disorder. Alcohol use during pregnancy is not likely to produce the findings listed in the distracters.

Answer to Question 2

ANS: C
Symptoms of agitation, elevated pulse, and perceptual distortions point to alcohol withdrawal delirium, a medical emergency. The findings are inconsistent with manipulative attempts, head injury, or functional psychosis.