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 D
Explanation
Choice A rationale
Limiting exercise to low-impact aerobics is safe and suitable for pregnant women.
Choice B rationale
Swimming is considered a safe and beneficial exercise during pregnancy.
Choice C rationale
Walking is a recommended form of exercise for pregnant women.
Choice D rationale
Sitting in a sauna is not advised during pregnancy due to risks of overheating and dehydration. .
Correct Answer is A
Explanation
Choice A rationale
Increasing folic acid intake immediately is recommended because it helps prevent neural tube defects, which can occur very early in pregnancy, often before a woman knows she is pregnant.
Choice B rationale
Starting folic acid intake one week before her period is not sufficient. Folic acid needs to be taken consistently before conception and during early pregnancy to be effective.
Choice C rationale
Waiting until pregnancy is confirmed may be too late to prevent neural tube defects, which form in the early weeks of pregnancy.
Choice D rationale
If she misses her period, it might already be too late to prevent neural tube defects. Consistent intake of folic acid before and during early pregnancy is essential.
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