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A pregnant patient is concerned about the safety of using over-the-counter medications for her cold symptoms. Which of the following responses is most appropriate for the nurse?
- A. It is always safe to use OTC medications during pregnancy.
- B. You should avoid using any medications during pregnancy unless prescribed by your healthcare provider.
- C. OTC medications for cold symptoms are safe during any trimester of pregnancy.
- D. Use herbal remedies instead of OTC medications to avoid harm to the baby.
Correct Answer: B
Rationale: Correct Answer: B
Rationale:
1. During pregnancy, it is crucial to minimize medication use to prevent potential harm to the fetus.
2. Many OTC medications have not been extensively studied for safety in pregnancy.
3. Healthcare providers can recommend safe and effective treatment options tailored to the individual.
4. Avoiding unnecessary medication reduces the risk of adverse effects on the developing baby.
Summary:
A: Incorrect. Not all OTC medications are safe during pregnancy, and blanket statements can be harmful.
C: Incorrect. Safety of OTC medications can vary by trimester, so blanket statements are not appropriate.
D: Incorrect. Herbal remedies can also pose risks during pregnancy, and individualized guidance is necessary.
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The vessels comprising the umbilical cord are cushioned and protected by a substance called _____________ _____________.
- A. Wharton’s jelly
- B. Endoderm
- C. jelly
- D. haploid
Correct Answer: A
Rationale: Wharton’s jelly is a gelatinous substance surrounding the blood vessels in the umbilical cord. It cushions and protects the vessels from compression and damage during pregnancy.
A 36-week pregnant woman is admitted with ruptured membranes and a positive test for Group B Streptococcus (GBS). What is the appropriate nursing action?
- A. Start prophylactic antibiotics for the patient
- B. Perform a cesarean section
- C. Administer IV fluids
- D. Provide patient education on labor progression
Correct Answer: A
Rationale: The correct answer is A: Start prophylactic antibiotics for the patient. In this scenario, the woman is at risk for ascending infection due to ruptured membranes and positive GBS test. Prophylactic antibiotics are necessary to prevent neonatal GBS sepsis. Performing a cesarean section is not indicated unless there are other obstetric indications. Administering IV fluids is important but not the priority in this case. Patient education on labor progression is not the immediate concern when the woman is at risk for infection.
A pregnant patient is at 28 weeks gestation and reports occasional headaches and blurred vision. What is the nurse's priority action?
- A. Monitor the patient's blood pressure and check for signs of preeclampsia.
- B. Administer pain relief and encourage the patient to rest.
- C. Assess the patient's vision and schedule an appointment with an eye specialist.
- D. Encourage the patient to drink fluids and avoid strenuous activity.
Correct Answer: A
Rationale: The correct answer is A: Monitor the patient's blood pressure and check for signs of preeclampsia.
1. Headaches and blurred vision are common symptoms of preeclampsia.
2. Preeclampsia is a serious condition that can lead to complications for both the mother and baby.
3. Monitoring blood pressure is crucial in diagnosing preeclampsia and determining the appropriate course of action.
4. Prompt assessment and management of preeclampsia are essential to prevent further complications.
Incorrect choices:
B: Administering pain relief and encouraging rest does not address the underlying cause of the symptoms, which could be preeclampsia.
C: Assessing vision and scheduling an appointment with an eye specialist does not address the urgent need to assess for preeclampsia.
D: Encouraging fluid intake and avoiding strenuous activity may be helpful in general, but they do not address the potential seriousness of preeclampsia in this
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.
A nurse is caring for a postpartum person who is at risk for hemorrhage. What is the most appropriate action to prevent postpartum hemorrhage?
- A. monitor vital signs
- B. administer uterotonic medications
- C. assess uterine tone
- D. perform fundal massage
Correct Answer: B
Rationale: The correct answer is B: administer uterotonic medications. Administering uterotonic medications helps prevent postpartum hemorrhage by promoting uterine contractions, which helps to control bleeding. The step-by-step rationale for this answer is as follows: 1. Uterotonic medications, such as oxytocin or misoprostol, are recommended as a prophylactic measure to prevent postpartum hemorrhage. 2. These medications help the uterus to contract, which compresses blood vessels and reduces the risk of excessive bleeding. 3. Administering uterotonic medications is a proactive approach to managing postpartum hemorrhage in high-risk individuals. Summary: Monitoring vital signs (choice A) is important but does not directly prevent hemorrhage. Assessing uterine tone (choice C) is helpful but may not be sufficient in preventing hemorrhage. Performing fundal massage (choice D) can help manage hemorrhage but is not as effective as administering ut