Author Question: A pregnant woman, who admits to intravenous drug use, had a negative human immunodeficiency virus ... (Read 31 times)

amal · **on:** Jun 25, 2018

A pregnant woman, who admits to intravenous drug use, had a negative human immunodeficiency virus (HIV) screening test just after missing her first menstrual period. Which assessment data would indicate the client needs to be retested for HIV?

A) Hemoglobin of 11 g/dL and a rapid weight gain
B) Elevated blood pressure and ankle edema
C) Unusual fatigue and oral thrush
D) Shortness of breath and frequent urination

Question 2

A young adult client is at 28 weeks' gestation. The prenatal history reveals past drug abuse, and urine screening indicates that she has recently used heroin.

Which potential fetal health problem should the nurse use to select a nursing diagnosis to guide care?
A) Congenital anomalies
B) Abruptio placentae
C) Diabetes mellitus
D) Intrauterine growth restriction (IUGR)

Ahernandez18 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: C

The client who is HIV-positive would have a suppressed immune system and would experience symptoms of fatigue and opportunistic infections such as oral thrush. The client with HIV would be anemic and anorexic. The client would have a decrease in blood pressure, and no ankle edema. Shortness of breath and frequent urination do not indicate a need to retest for HIV.

Answer to Question 2

Answer: D

Women who use heroin place the fetus at an increased risk for developing intrauterine growth restriction (IUGR). Congenital anomalies often occur with the use of lithium during pregnancy. Diabetes is an endocrine disorder that is unrelated to drug use and abuse. Abruptio placentae is a condition the mother can experience and is seen more commonly with cocaine and crack use.