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A pregnant patient is concerned about the safety of taking over-the-counter (OTC) medications. Which statement by the nurse would be most appropriate?
- A. OTC medications are safe to take without consulting a doctor.
- B. Consult your healthcare provider before taking any OTC medications during pregnancy.
- C. You can take any OTC medication as long as it is for a common pregnancy symptom.
- D. Only prescription medications are safe during pregnancy.
Correct Answer: B
Rationale: The correct answer is B because it emphasizes the importance of consulting a healthcare provider before taking any OTC medications during pregnancy. This is crucial because not all OTC medications are safe during pregnancy, and individual health conditions can affect their safety. Choice A is incorrect because not all OTC medications are safe without consulting a healthcare provider. Choice C is incorrect as it oversimplifies the safety of OTC medications during pregnancy. Choice D is incorrect because not only prescription medications are safe during pregnancy; some OTC medications can also be safe, but it is essential to consult a healthcare provider to ensure safety.
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A nurse is preparing to administer a medication to a birthing person with a history of hypertension. What is the nurse's priority assessment before administering this medication?
- A. Blood pressure and pulse rate
- B. Respiratory rate and oxygen saturation
- C. Temperature and urine output
- D. Oxygen saturation and urine output
Correct Answer: A
Rationale: The correct answer is A: Blood pressure and pulse rate. For a birthing person with a history of hypertension, it is crucial to assess their blood pressure and pulse rate before administering medication to ensure the medication does not exacerbate their hypertension. Monitoring these vital signs helps in determining the appropriateness and safety of the medication.
Summary:
- Choice B is incorrect because respiratory rate and oxygen saturation are not the priority assessments for a person with a history of hypertension.
- Choice C is incorrect as temperature and urine output are not directly related to assessing the risk of exacerbating hypertension.
- Choice D is incorrect as oxygen saturation and urine output are not the primary indicators of medication safety for someone with hypertension.
The following four changes occur during pregnancy. Which of them usually increases the father’s interest and involvement in the pregnancy?
- A. Learning the results of the pregnancy test.
- B. Attending childbirth education classes.
- C. Hearing the fetal heartbeat.
- D. Meeting the obstetrician or midwife.
Correct Answer: C
Rationale: Hearing the fetal heartbeat is a significant moment that often increases the father’s interest and involvement in the pregnancy. The other options may also increase involvement but are less impactful.
What procedure might the nurse perform to determine the presentation of the fetus?
- A. vaginal exam
- B. ultrasound
- C. palpation of contractions
- D. laboring person interview
Correct Answer: B
Rationale: The correct answer is B: ultrasound. Ultrasound is the most accurate and non-invasive method to determine the presentation of the fetus by visualizing the position of the baby in the womb. It allows the nurse to see if the fetus is in a cephalic (head-down) or breech (feet or buttocks down) position. This information is crucial for assessing the progress of labor and planning appropriate interventions.
A: Vaginal exam is not typically used to determine fetal presentation as it does not provide a clear view of the baby's position.
C: Palpation of contractions helps assess the strength and frequency of contractions but does not directly determine fetal presentation.
D: Laboring person interview may provide valuable information about symptoms and history but does not offer direct insight into fetal presentation.
A nurse is caring for a pregnant patient at 36 weeks gestation who has been diagnosed with preeclampsia. Which of the following interventions should the nurse prioritize?
- A. Encourage the patient to increase fluid intake to prevent dehydration.
- B. Monitor the patient's blood pressure and assess for signs of worsening preeclampsia.
- C. Provide education about managing gestational diabetes.
- D. Administer pain relief to reduce discomfort from swelling.
Correct Answer: B
Rationale: The correct answer is B because monitoring the patient's blood pressure and assessing for signs of worsening preeclampsia is crucial in managing the condition and preventing potential complications. At 36 weeks gestation, close monitoring is essential to detect any changes in the patient's condition promptly. Increasing fluid intake (choice A) may not be recommended for patients with preeclampsia due to the risk of fluid overload. Providing education about managing gestational diabetes (choice C) is irrelevant in this scenario. Administering pain relief (choice D) may provide temporary relief but does not address the underlying issue of worsening preeclampsia. Prioritizing blood pressure monitoring ensures timely intervention and management of preeclampsia to promote the well-being of both the patient and the baby.
A nurse is preparing a laboring person for an epidural. What is the most important nursing intervention before the procedure?
- A. Ensure informed consent is signed
- B. Administer IV fluids
- C. Monitor maternal vital signs
- D. Administer pain relief
Correct Answer: A
Rationale: The correct answer is A: Ensure informed consent is signed. Before any procedure, it is crucial to obtain informed consent to ensure the individual understands the risks, benefits, and alternatives. This protects their autonomy and ensures they are making an informed decision. Administering IV fluids (B) is important but not as critical as obtaining consent. Monitoring vital signs (C) is essential but not the most important step before the procedure. Administering pain relief (D) should only be done after ensuring informed consent and assessing the individual's pain level.