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.
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Ambivalent feelings are common in early pregnancy due to hormonal changes and the significant life adjustments that accompany pregnancy. It is normal for pregnant women to experience mixed emotions as they adapt to the reality of impending parenthood.
Choice B rationale
Suggesting the client speak to her mother about these feelings may not be appropriate as it could dismiss the client's current feelings and needs. While family support is valuable, the nurse should first address the client's concerns directly.
Choice C rationale
Referring the client to a counselor may be necessary in some cases, but it is essential to first normalize the client's feelings. It helps in providing immediate reassurance and understanding before suggesting further intervention.
Choice D rationale
Telling the client "Don't worry, you will be fine once the baby is born" is dismissive and minimizes her current concerns. It is important to validate her feelings and provide supportive responses to help her cope with her emotions.
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.
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