A nurse in the labor and delivery unit is reviewing medications for a group of clients. Which of the following medications places the fetus at risk for teratogenic effects?
Levothyroxine for hypothyroidism
Phenytoin for seizure disorder
Magnesium oxide for constipation
Ferrous sulfate for chronic anemia
The Correct Answer is B
A. Levothyroxine is a thyroid hormone replacement medication commonly used to treat hypothyroidism. It is not associated with teratogenic effects when used appropriately.
B. Phenytoin is an anticonvulsant medication that is known to be teratogenic, especially when used during the first trimester of pregnancy. It is associated with an increased risk of congenital malformations, such as cleft palate and heart defects, in infants born to mothers who take the medication during pregnancy.
C. Magnesium oxide is a mineral supplement commonly used to treat constipation during pregnancy. It is not associated with teratogenic effects when used appropriately.
D. Ferrous sulfate is an iron supplement commonly used to treat chronic anemia during pregnancy. It is not associated with teratogenic effects when used appropriately.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Active range-of-motion exercises are not appropriate for a child with increased intracranial pressure and decreased level of consciousness, as they may increase intracranial pressure.
B. Maintaining the head at a midline position helps promote proper cerebral perfusion and reduces the risk of further increases in intracranial pressure.
C. Frequent suctioning of the airway can stimulate the gag reflex and increase intracranial pressure. Suctioning should only be done as needed to maintain a clear airway.
D. Neurological checks should be performed more frequently than every 4 hours in a child with increased intracranial pressure and decreased level of consciousness, ideally at least every hour or as indicated by the child's condition.
Correct Answer is A
Explanation
A.
A. Changing clothes after working in the field helps prevent pesticide residue from being transferred to other surfaces and reduces the risk of exposure to pesticides.
B. Applying petroleum jelly to the nostrils is not an effective method for minimizing exposure to pesticides and may not provide significant protection.
C. Wiping fruits and vegetables with a dry cloth may remove some surface dirt but is unlikely to effectively remove pesticide residues, especially if they have been absorbed into the produce.
D. Taking a hot shower after finishing work may help remove pesticide residues from the skin but does not address the potential for exposure from contaminated clothing or other surfaces.
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