Which is the most dangerous effect on the fetus of a client who ...

[Frost2351]

Which is the most dangerous effect on the fetus of a client who smokes cigarettes while pregnant?
 
  a. Intrauterine growth restriction
  b. Genetic changes and anomalies
  c. Extensive central nervous system damage
  d. Fetal addiction to the substance inhaled

Question 2

A client has delivered twins. The first twin was stillborn, and the second is in the intensive care nursery, recovering quickly from respiratory distress. The client is crying softly and says, I wish my baby could have lived.
 
  Which is the most therapeutic response?
 
  a. How soon do you plan to have another baby?
  b. Don't be sad. At least you have one healthy baby.
  c. I have a friend who lost a twin and she's doing just fine now.
  d. I am so sorry about your loss. Would you like to talk about it?

[LegendaryAnswers]

Answer to Question 1

ANS: A
The major consequences of smoking tobacco during pregnancy are low-birth-weight infants, prematurity, and increased perinatal loss. Cigarettes normally will not cause genetic changes or extensive central nervous system damage. Addiction is not a normal concern with the neonate.

Answer to Question 2

ANS: D
The nurse should recognize the woman's grief and its significance. Asking her about plans for another baby is denying the loss of the other infant. Pointing out the health of another baby is belittling her feelings. Stating that the nurse has a friend who lost a twin is denying the loss of the infant and her grief and belittling her feelings.

[Frost2351]

Excellent

[parshano]

TYSM