Author Question: The nurse is teaching prenatal clients about avoiding substances or conditions that can harm the ... (Read 62 times)

debasdf · **on:** Jun 28, 2018

The nurse is teaching prenatal clients about avoiding substances or conditions that can harm the fetus. Which should the nurse include in the teaching session? (Select all that apply.)

a. Elimination of use of alcohol
b. Avoidance of supplemental folic acid replacement
c. Stabilization of blood glucose levels in a diabetic client with insulin
d. Avoidance of nonurgent radiologic procedures during the pregnancy
e. Avoidance of maternal hyperthermia to temperatures of 37.8 C (100 F) or higher

Question 2

The nurse is explaining genetics to a group of nursing students. Which are autosomal recessive disorders that the nurse should include in the teaching session? (Select all that apply.)

a. Hemophilia
b. Cystic fibrosis
c. Sickle cell disease
d. Turner's syndrome
e. Phenylketonuria (PKU) disease

Leostella20 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A, C, D, E
The best action is for the pregnant woman to eliminate use of nontherapeutic drugs and substances such as alcohol. A woman who has diabetes should try to keep her blood glucose levels normal and stable before and during pregnancy for the best possible fetal outcomes. Nonurgent radiologic procedures may be done during the first 2 weeks after the menstrual period begins, before ovulation occurs. Exposure to temperatures of 37.8 C (100 F) or higher is not advised for the pregnant client. Folic acid supplements should be taken. All women of childbearing age should take at least 0.4 mg (400 mcg) of folic acid daily before and after conception because this has been found to reduce the incidence of neural tube defects by 50 to 70.

Answer to Question 2

ANS: B, C, E
Cystic fibrosis, sickle cell disease, and PKU disease are autosomal recessive disorders. Hemophilia and Turner's syndrome are X-linked genetic disorders.