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A client is 15 weeks pregnant. She calls the obstetric office to request a medication for a headache. The nurse answers the telephone. Which of the following is the nurse’s best response?
- A. Because the organ systems in the baby are developing right now, it is risky to take medicine.
- B. You can take any of the over-the-counter medications because they are all safe in pregnancy.
- C. The physician will prescribe a category 'X' medication for you.
- D. You can take acetaminophen because it is a category 'B' medicine.
Correct Answer: D
Rationale: Acetaminophen is a category 'B' medication, which is considered safe during pregnancy. Other over-the-counter medications may not be safe, and category 'X' medications are contraindicated.
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A client is 15 weeks pregnant. She calls the obstetric office to request a medication for a headache. The nurse answers the telephone. Which of the following is the nurse’s best response?
- A. Because the organ systems in the baby are developing right now, it is risky to take medicine.
- B. You can take any of the over-the-counter medications because they are all safe in pregnancy.
- C. The physician will prescribe a category 'X' medication for you.
- D. You can take acetaminophen because it is a category 'B' medicine.
Correct Answer: D
Rationale: Acetaminophen is a category 'B' medication, which is considered safe during pregnancy. Other over-the-counter medications may not be safe, and category 'X' medications are contraindicated.
A nurse is caring for a laboring person who is in the first stage of labor. What is the priority assessment during this stage?
- A. monitor fetal heart rate
- B. assess cervical dilation
- C. assist with positioning
- D. administer an epidural
Correct Answer: A
Rationale: The correct answer is A: monitor fetal heart rate. During the first stage of labor, assessing the fetal heart rate is crucial to ensure the well-being of the baby. It helps detect any signs of distress or complications early on. Monitoring the mother's health is also important, but ensuring the baby's safety takes precedence. Assessing cervical dilation (B) is important but not the priority in the early stage. Assisting with positioning (C) can help progress labor but is secondary to monitoring fetal well-being. Administering an epidural (D) is not a priority assessment but a pain management intervention.
The nurse is educating the pregnant patient with a body mass index (BMI) of 33. The nurse knows that teaching has been effective when the patient states which of the following?
- A. My child may be at increased risk for birth injury.
- B. My child may have a decreased risk of developing childhood diabetes.
- C. I will probably give birth vaginally.
- D. I have a lower risk of developing gestational hypertension.
Correct Answer: A
Rationale: The correct answer is A: "My child may be at increased risk for birth injury." This is correct because a pregnant patient with a BMI of 33 is considered obese, which can increase the risk of birth injury to the baby due to complications such as macrosomia (large birth weight).
Explanation:
1. Obesity in pregnancy can lead to complications such as macrosomia, shoulder dystocia, and birth trauma.
2. Higher BMI can also increase the risk of cesarean delivery, which may be necessary to prevent birth injuries.
3. Childhood diabetes risk is not decreased with maternal obesity.
4. Mode of delivery (vaginal or cesarean) is not solely determined by BMI.
5. Gestational hypertension risk is actually higher in women with obesity.
In summary, choice A is correct because it directly relates to the increased risk of birth injury associated with maternal obesity, while the other choices are not directly linked to the patient's BMI and pregnancy complications.
A nurse is caring for a postpartum person who is at risk for uterine atony. What is the most important intervention to prevent uterine atony?
- A. administer uterotonic medications
- B. perform fundal massage
- C. perform a vaginal exam
- D. monitor vital signs
Correct Answer: B
Rationale: The correct answer is B: perform fundal massage. Fundal massage helps stimulate uterine contractions and prevents uterine atony by promoting uterine firmness and reducing the risk of excessive bleeding. It is a non-invasive intervention that can be done immediately after delivery to prevent postpartum hemorrhage. Administering uterotonic medications (Choice A) may be necessary in severe cases but fundal massage is the initial intervention. Performing a vaginal exam (Choice C) is not indicated unless there are specific concerns or indications. Monitoring vital signs (Choice D) is important but addressing uterine atony requires more direct intervention like fundal massage.
Where is the usual location for implantation of the zygote?
- A. Upper section of the posterior uterine wall
- B. Lower portion of the uterus near the cervical os
- C. Inner third of the fallopian tube near the uterus
- D. Lateral aspect of the uterine wall
Correct Answer: A
Rationale: The zygote usually implants in the upper section of the posterior uterine wall.