Practice Question
A 24-year-old woman arrives at the clinic to confirm her pregnancy. She has a body mass index (BMI) of 17, admits to occasional cocaine use and alcohol consumption, and has a blood pressure of 108/70 mm Hg. Her family history includes diabetes mellitus and cancer, including a sister who recently gave birth to an infant with a neural tube defect (NTD). Which factors place her in a high-risk category?
Answer Choices:
Correct Answer:
Family history, BMI, and drug/alcohol abuse.
Rationale:
🔶 Family history of neural tube defects (NTDs) significantly increases the risk of fetal anomalies, particularly if folic acid intake is inadequate during early pregnancy.
🔶 Low BMI (<18.5) is associated with poor nutritional status, which is a risk factor for adverse pregnancy outcomes including fetal growth restriction and increased risk for NTDs due to potential folate deficiency.
🔶 Cocaine and alcohol use are well-established teratogens. Their use during pregnancy is linked to miscarriage, preterm labor, placental abruption, low birth weight, and developmental defects.
🔶 Although the patient is 24 years old (which is within the low-risk age range for pregnancy), her lifestyle factors and family history significantly elevate her risk profile.
🔶 Blood pressure of 108/70 mm Hg and age 24 are normal and not risk factors in this context.
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This question is from Indiana University OB-Maternal exam 3 which contains 44 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: 🤱🏼Maternity & Newborn Care
- Answer Choices: 4