For each potential prescription from the provider, specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.

Administer azithromycin 1 g PO one time.

Administer ibuprofen 600 mg PO twice a day for pain.

Notify all sexual partners within prior 30 days of the need for STI screening.

Administer ceftriaxone 250 mg IM now.

Repeat STI screening at next prenatal visit in 1 month.

Notify the appropriate public health agency.

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"C"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"}}

Choice A Rationale

Administer azithromycin 1 g PO one time: Anticipated. Azithromycin is commonly used to treat chlamydia infections during pregnancy and is considered safe.

Choice B Rationale

Administer ibuprofen 600 mg PO twice a day for pain: Contraindicated. Ibuprofen is generally avoided during pregnancy, especially in the third trimester, due to risks such as premature closure of the fetal ductus arteriosus.

Choice C Rationale

Notify all sexual partners within prior 30 days of the need for STI screening: Anticipated. Notification of sexual partners for STI screening is a standard public health practice to prevent the spread of infections.

Choice D Rationale

Administer ceftriaxone 250 mg IM now: Anticipated. Ceftriaxone is often used to treat gonorrhea infections during pregnancy and is considered safe for both mother and fetus.

Choice E Rationale

Repeat STI screening at next prenatal visit in 1 month: Anticipated. Repeating STI screening can help ensure that any new or untreated infections are identified and managed appropriately.

Choice F Rationale

Notify the appropriate public health agency: Anticipated. Reporting certain STIs to public health agencies is required by law to help track and control the spread of infections.

Nursing Test Bank

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Correct Answer is ["B","C","D","E"]

Explanation

Choice A rationale

Rubella vaccination is contraindicated during pregnancy due to the risk of congenital rubella syndrome in the fetus. It should be administered postpartum if the client is non-immune.

Choice B rationale

Preterm labor is a concern at 28 weeks' gestation. Educating the client on signs and symptoms can help in early detection and management, potentially improving outcomes for both mother and baby.

Choice C rationale

Rh-negative mothers with a negative antibody screen should receive Rhogam at 28 weeks to prevent Rh sensitization. This is crucial to avoid hemolytic disease of the newborn in future pregnancies.

Choice D rationale

A positive urine analysis for leukocytes indicates a possible urinary tract infection. A clean catch urine culture is needed to identify the causative organism and guide appropriate antibiotic therapy.

Choice E rationale

The glucose challenge test result of 120 at 26 weeks is within normal limits, but a 3-hour diagnostic glucose tolerance test may be ordered if there's a high index of suspicion for gestational diabetes or other risk factors.

Choice F rationale

A blood transfusion is not indicated as the hemoglobin/hematocrit levels (11.0 mg/dl and 35%) are within acceptable limits for pregnancy.

A. Fetal nutrition and excretion are carried out by the placenta. B. Fetal respirations are carried out by the placenta. C. The placenta filters harmful substances from maternal blood. D. The placenta receives maternal blood from the uterine arteries.

Correct Answer is C

Explanation

Choice A rationale

Fetal nutrition and excretion are carried out by the placenta. This statement is correct. The placenta provides essential nutrients to the fetus and removes waste products from fetal blood.

Choice B rationale

Fetal respirations are carried out by the placenta. This statement is correct. The placenta facilitates gas exchange, providing oxygen to the fetus and removing carbon dioxide.

Choice C rationale

The placenta filters harmful substances from maternal blood. This statement is incorrect. While the placenta provides some barrier function, it does not filter all harmful substances from maternal blood, and certain drugs and toxins can cross the placental barrier and affect the fetus.

Choice D rationale

The placenta receives maternal blood from the uterine arteries. This statement is correct. Maternal blood flows to the placenta via the uterine arteries, supplying oxygen and nutrients to the fetal side of the placenta.

View Question and Answer

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For each potential prescription from the provider, specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["B","C","D","E"]

Explanation

A pregnant client asks about the functions of the placenta.Which of the following items should the nurse NOT include in the teaching plan?

Correct Answer is C

Explanation

A pregnant patient enjoys exercising at a local health spa once a week.Which patient comment indicates to the nurse that more health teaching is needed?

The nurse who is assessing a G2 P1 client palpates the fundal height at the location noted on the picture below (near the umbilicus). The nurse concludes that the fetus is equal to which of the following gestational ages?

A newborn who weighs 3900 grams is to receive 25mg/kg of Augmentin (Amoxicillin Clavulanate Potassium) q 24 hours. The supply on hand is 125mg/5mL. How many ml will the newborn receive in 24 hours? (Write in your answer).

A pregnant client tells the nurse that her LMP was 3 months ago and began on October 20. Using Naegele's rule, calculate the client's estimated date of delivery. Answer format: "October 20"

A nurse is caring for a client who is coming in for her first prenatal visit and it is estimated to be 9 weeks gestation.An ultrasound is scheduled.The nurse should explain to the client that the ultrasound is being done today to assess for which of the following?

A nurse is caring for a client during an initial prenatal visit.The client's last menstrual period was 18 weeks ago.Which of the following actions should the nurse plan to take?

For each potential prescription from the provider, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.