The nurse and prenatal client discuss the effects of cigarette smoking on pregnancy. It would be correct for the nurse to explain that with cigarette smoking there is increased risk that the baby will have:

• A.A low birth weight
• B.A birth defect
• C.Anemia
• D.Nicotine withdrawal

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The doctor has ordered a restricted fluid intake for a 2- year-old child with a head injury. Normal fluid intake for a child of 2 years is:

• A.900 mL/24 hr
• B.1300 mL/24 hr
• C.1600 mL/24 hr
• D.2000 mL/24 hr

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A 44-year-old client had an emergency cholecystectomy 3 days ago for a ruptured gallbladder. She complains of severe abdominal pain. Assessment reveals abdominal rigidity and distention, increased temperature, and tachycardia. Diagnostic testing reveals an elevated WBC count. The nurse suspects that the client has developed:

• A.Gastritis
• B.Evisceration
• C.Peritonitis
• D.Pulmonary embolism

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Parents of children receiving chemotherapy should be warned that alopecia is a side effect and that:

• A.Children seldom show concern about losing their hair
• B.The hair will come out gradually, and the loss will not be noticeable for some time
• C.It is best for girls to choose a wig similar to their hair style and color before the hair falls out
• D.The parents will soon get used to seeing their children without hair, and it will no longer bother them

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A 55-year-old client is unconscious, and his physician has decided to begin tube feeding him using a smallbore silicone feeding tube (Keofeed, Duo-Tube). After the tube is inserted, the nurse identifies the most reliable way to confirm appropriate placement is to:

• A.Aspirate gastric contents
• B.Auscultate air insufflated through the tube
• C.Obtain a chest x-ray
• D.Place the tip of the tube under water and observe for air bubbles

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