Nokea
A nurse is caring for a pregnant patient who is 8 weeks gestation. The patient is asking about the safety of taking over-the-counter cold medications. Which response is most appropriate?
- A. It is safe to take any over-the-counter medication during pregnancy.
- B. You should only take medications that are specifically labeled for pregnancy use.
- C. Cold medications are never safe to take during pregnancy.
- D. Only herbal remedies are safe for treating colds during pregnancy.
Correct Answer: B
Rationale: The correct answer is B because during pregnancy, it is essential to be cautious about medications. Choosing medications specifically labeled for pregnancy ensures safety for both the mother and the developing fetus. Choice A is incorrect because not all over-the-counter medications are safe during pregnancy. Choice C is incorrect as some cold medications are safe when used as directed. Choice D is incorrect as not all herbal remedies are proven safe for use during pregnancy. It is important to prioritize the well-being of both the mother and the baby by following healthcare provider recommendations and using medications approved for use during pregnancy.
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A nurse is caring for a laboring person who is receiving oxytocin for labor induction. What is the priority intervention when uterine hyperstimulation occurs?
- A. stop the oxytocin infusion
- B. increase the oxytocin infusion
- C. administer IV fluids
- D. administer an epidural
Correct Answer: D
Rationale: The correct answer is D: administer an epidural. Uterine hyperstimulation during labor can lead to fetal distress and complications. Administering an epidural can help manage pain and relax the uterus, reducing the risk of hyperstimulation. Stopping the oxytocin infusion (choice A) is also important, but managing the uterine contractions with an epidural takes priority. Increasing the oxytocin infusion (choice B) would exacerbate the hyperstimulation. Administering IV fluids (choice C) may be helpful, but it does not directly address the uterine hyperstimulation.
A 38-week gestation client, Bishop score 1, is advised by her nurse midwife to take evening primrose daily. The office nurse advises the client to report which of the following side effects that has been attributed to the oil?
- A. Diarrhea.
- B. Pedal edema.
- C. Blurred vision.
- D. Tinnitus.
Correct Answer: A
Rationale: Diarrhea is a known side effect of evening primrose oil. Pedal edema, blurred vision, and tinnitus are not typically associated with its use.
A woman, 26-weeks’ gestation, calls the triage nurse stating, 'I’m really scared. I tried not to but I had an orgasm when we were making love. I just know that I will go into preterm labor now.'
- A. Lie down and drink a quart of water. If you feel any back pressure at all call me back right away.
- B. Although oxytocin was responsible for your orgasm it is very unlikely that it will stimulate preterm labor.
- C. I will inform the doctor for you. What I want you to do is to come to the hospital right now to be checked.
- D. The best thing for you to do right now is to take a warm shower and then do a fetal kick count assessment.
Correct Answer: B
Rationale: Oxytocin released during orgasm does not typically trigger preterm labor. Reassurance is appropriate unless there are other risk factors present.
A pregnant patient at 36 weeks gestation reports difficulty breathing when lying flat. What should the nurse do first?
- A. Encourage the patient to rest in a semi-reclined position or on her left side.
- B. Administer oxygen as prescribed to improve oxygenation.
- C. Monitor the fetal heart rate and assess for signs of distress.
- D. Instruct the patient to take shallow breaths and stay in bed.
Correct Answer: A
Rationale: The correct answer is A because positioning the patient in a semi-reclined or left side position can alleviate pressure on the diaphragm and improve breathing. This position helps optimize blood flow to the uterus and placenta. Encouraging rest in this position can improve oxygenation for both the mother and fetus. Administering oxygen (Choice B) may help with oxygenation but does not address the underlying issue of positional discomfort. Monitoring fetal heart rate (Choice C) is important but not the first action to address the mother's breathing difficulty. Instructing the patient to take shallow breaths and stay in bed (Choice D) does not address the positional component of the issue.
Which of the following findings in an 8-week gestation client, G2 P1001, should the nurse highlight for the nurse midwife? Select all that apply.
- A. Body mass index of 17 kg/m².
- B. Rubella titer of 1:8.
- C. Blood pressure of 100/60 mm Hg.
- D. Hematocrit of 30%.
Correct Answer: A
Rationale: A low BMI, low rubella titer, and low hematocrit are all concerning findings that should be highlighted for further evaluation. A blood pressure of 100/60 mm Hg is within normal limits.