A client who suspects she is pregnant tells the nurse she has a peptic ulcer that is being treated with misoprostol, a synthetic prostaglandin E drug.
How should the nurse respond?

"You may be at higher risk for having a spontaneous miscarriage.”.

"You may have an increased chance of having preeclampsia.”.

"This medication will have no effect on your unborn child.”.

"You may experience postpartum hemorrhaging after delivery.”.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Misoprostol is a synthetic prostaglandin E1 (PGE1) analog that can induce uterine contractions, increasing the risk of a spontaneous miscarriage, particularly in early pregnancy.

Choice B rationale

Misoprostol is not known to increase the risk of preeclampsia. Preeclampsia involves high blood pressure and potential damage to other organ systems, typically appearing after 20 weeks of pregnancy.

Choice C rationale

Misoprostol does have an effect on the unborn child due to its ability to cause uterine contractions and cervical ripening, potentially leading to miscarriage.

Choice D rationale

Misoprostol is not associated with an increased risk of postpartum hemorrhaging after delivery. It is often used to manage postpartum hemorrhage by promoting uterine contractions.

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Correct Answer is ["A","B","D"]

Explanation

Choice A rationale

Standard precautions should always be used to prevent the transmission of infections. This includes wearing gloves, gowns, and masks when necessary to protect both the healthcare provider and the patient.

Choice B rationale

Antiviral medication is critical for an HIV-positive mother in labor to reduce the risk of vertical transmission of the virus to the newborn. Intravenous administration ensures rapid delivery and effective drug levels.

Choice C rationale

Droplet precautions are not necessary for HIV as the virus is not transmitted via droplets. It is primarily transmitted through blood, sexual contact, and from mother to child during childbirth or breastfeeding.

Choice D rationale

Bottle-feeding is encouraged for HIV-positive mothers to prevent postnatal transmission of the virus through breast milk. Breastfeeding can increase the risk of the infant contracting HIV.

Choice E rationale

Negative pressure rooms are used for airborne diseases like tuberculosis, not for HIV. HIV is not airborne, so standard precautions suffice.

A. Latanoprost eye drops. B. Erythromycin ointment. C. Tetracaine eye drops. D. Neomycin ointment.

Correct Answer is B

Explanation

Choice A rationale

Latanoprost eye drops are used to reduce intraocular pressure in glaucoma patients and are not relevant for a newborn exposed to Neisseria gonorrhoeae.

Choice B rationale

Erythromycin ointment is the correct medication to administer to a newborn exposed to Neisseria gonorrhoeae. It is used to prevent ophthalmia neonatorum, an eye infection caused by the bacteria. Administering erythromycin ointment is essential to protect the newborn's eyes from potential blindness or severe infection.

Choice C rationale

Tetracaine eye drops are a topical anesthetic used to numb the eyes during procedures and are not indicated for preventing neonatal eye infections caused by Neisseria gonorrhoeae.

Choice D rationale

Neomycin ointment is an antibiotic used for treating bacterial infections, but it is not the standard treatment for preventing ophthalmia neonatorum in newborns exposed to Neisseria gonorrhoeae. Erythromycin ointment is the recommended prophylactic treatment. .

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A client who suspects she is pregnant tells the nurse she has a peptic ulcer that is being treated with misoprostol, a synthetic prostaglandin E drug.How should the nurse respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client at 40 weeks gestation is admitted in active labor, and laboratory findings indicate that she is HIV positive.Which action(s) should the nurse plan to perform? Select all that apply.

Correct Answer is ["A","B","D"]

Explanation

A client who is positive for Neisseria gonorrhoeae vaginally delivered a newborn.Which medication should the nurse administer to the newborn?

Correct Answer is B

Explanation

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A client who suspects she is pregnant tells the nurse she has a peptic ulcer that is being treated with misoprostol, a synthetic prostaglandin E drug.
How should the nurse respond?