Tracy consumed alcohol almost daily while she was pregnant. Her ...

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Tracy consumed alcohol almost daily while she was pregnant. Her newborn baby has growth deficiency and facial malformations. What is the name for the pattern of birth defects that can occur due to exposure to alcohol?
 
  A) Prenatal alcohol syndrome
  B) Natal alcohol syndrome
  C) Ethanol spectrum disorder
  D) Fetal alcohol syndrome

Question 2

A client has been admitted to an acute medical unit in apparent alcohol withdrawal. The client's admission orders specify the hourly use of the Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA-Ar).
 
  During this assessment, what question will the nurse ask the client?
  A) How badly do you want a drink?
  B) Do you feel nervous right now?
  C) How long has it been since your last drink?
  D) Are you feeling angry or annoyed?

[ju]

Answer to Question 1

Ans: D
Feedback:
Alcohol is a teratogen, meaning that it crosses the placenta when women drink during pregnancy and can cause adverse fetal effects. The most clearly alcohol-related birth defect is a specific pattern called fetal alcohol syndrome (FAS), the leading known preventable cause of mental retardation. Manifestations of FAS include prenatal and postnatal growth deficiency; facial malformations, including a small head circumference, flattened midface, sunken nasal bridge, and flattened and elongated groove between nose and upper lip; CNS dysfunction; and varying degrees of major organ system malfunction.

Answer to Question 2

Ans: B
Feedback:
The CIWA-Ar consists of numerous questions that gauge the signs and symptoms of alcohol withdrawal. These include questions about nervousness but not questions about alcohol craving, time since the client's last drink, or anger.

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