A nurse is teaching a client who is in her first trimester of pregnancy about over-the-counter medications that are a pregnancy risk category B. Which of the following medications should the nurse include?
Naproxen
Aspirin
Ibuprofen
Acetaminophen
The Correct Answer is D
Choice A reason:
Naproxen is classified as a pregnancy category B medication during the first and second trimesters but becomes category D in the third trimester due to potential risks to the fetus. It is generally advised to avoid nonsteroidal anti-inflammatory drugs (NSAIDs) like naproxen during pregnancy unless specifically recommended by a healthcare provider.
Choice B reason:
Aspirin is not considered safe during pregnancy, especially in higher doses. It is classified as category D in the third trimester due to risks such as premature closure of the ductus arteriosus and potential bleeding complications. Low-dose aspirin may be prescribed in specific cases, but it is not generally recommended as an over-the-counter option for pregnant women.
Choice C reason:
Ibuprofen, like naproxen, is an NSAID and is classified as category B during the first and second trimesters but category D in the third trimester. It is generally advised to avoid ibuprofen during pregnancy due to potential risks to the fetus, particularly in the later stages of pregnancy.
Choice D reason:
Acetaminophen is classified as a pregnancy category B medication and is considered safe for use during all trimesters of pregnancy. It is the preferred over-the-counter analgesic and antipyretic for pregnant women due to its safety profile. Acetaminophen does not carry the same risks as NSAIDs and is widely used to manage pain and fever during pregnancy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Sometimes my child acts bossy with his friends is a common behavior in children as they navigate social interactions and develop leadership skills. While it may require some guidance on social skills, it is not typically a cause for medical concern.
Choice B reason: The teacher says my child has to squint to see the board is concerning because it indicates a potential vision problem. Squinting to see the board can be a sign of refractive errors such as myopia (nearsightedness) or astigmatism. Early detection and correction of vision problems are crucial for a child’s academic performance and overall development.
Choice C reason: My child has recently lost both front top teeth is a normal part of dental development. Children typically lose their primary (baby) teeth around the age of 6 to 7 years as their permanent teeth begin to erupt. This is a natural process and not a cause for concern.
Choice D reason: My child often cheats when we play board games can be a normal part of a child’s development as they learn about rules and fairness. While it may require parental guidance to teach honesty and fair play, it is not typically a medical concern.
Correct Answer is B
Explanation
Choice A reason: Free T4
In primary hypothyroidism, the thyroid gland is underactive and does not produce enough thyroid hormones. As a result, free T4 levels are typically low, not elevated. Free T4 is a direct measure of the active thyroid hormone available in the blood. Therefore, an elevation in free T4 is not expected in primary hypothyroidism.
Choice B reason: Thyroid-stimulating hormone (TSH)
Thyroid-stimulating hormone (TSH) is elevated in primary hypothyroidism due to the lack of negative feedback from low thyroid hormone levels. The pituitary gland produces more TSH in an attempt to stimulate the thyroid gland to produce more hormones. This is a hallmark finding in primary hypothyroidism and is used as a key diagnostic indicator.
Choice C reason: Serum T3
Serum T3 levels can be variable in primary hypothyroidism. While they may be low, they are often maintained within the normal range until the condition becomes severe. This is because T3 is produced in smaller quantities and has a shorter half-life compared to T4. Therefore, an elevation in serum T3 is not typically seen in primary hypothyroidism.
Choice D reason: Serum T4
Similar to free T4, serum T4 levels are usually low in primary hypothyroidism. The thyroid gland’s reduced ability to produce thyroid hormones results in decreased levels of both free and total T4. Thus, an elevation in serum T4 is not expected in primary hypothyroidism.
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