Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
12. A group of clients who are pregnant are attending a childbirth preparation class. A nurse is discussing the effects of cigarette smoke on fetal development. Which characteristic should the nurse describe as being associated with babies born to mothers who smoked during pregnancy?
. Low birth weight.
. Large for gestational age.
. Preterm birth, but appropriate size for gestation.
. Macrosomia.
Test-Taking Tip
Eliminate macrosomia and large for gestational age because they are essentially the same condition. Smoking causes low-birth-weight, not large infants.
Content Area: Maternity, Antepartum; Integrated Process: Teaching and Learning; Cognitive Level: Application; Client Need/Subneed: Health Promotion and Maintenance/Ante/Intra/Postpartum and Newborn Care
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
.
Answer 1 is correct because smoking has a direct association with low birth weight, doubling the risk of an infant who may have a low birth weight. Answer 2 is incorrect because smoking results in low birth weight, not large-for-gestational-age infants. Answer 3 is incorrect because, although smoking does have an association with preterm birth, the infant would be low birth weight, not an appropriate size for gestation. Answer 4 is incorrect because smoking results in low birth weight, not macrosomia.