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 C
Explanation
Choice A rationale
Lanugo is a fine hair that covers the fetus but does not primarily protect the skin from amniotic fluid exposure. It mainly helps in thermoregulation and the adherence of the vernix caseosa.
Choice B rationale
While skin care after birth is important, applying cream post-delivery does not explain why the skin is protected during gestation.
Choice C rationale
Vernix caseosa is a protective, cheese-like coating that covers the fetus's skin. It provides a barrier against the amniotic fluid, preventing maceration of the skin during the pregnancy.
Choice D rationale
Although subcutaneous fat develops in the fetus, it is not responsible for protecting the skin from amniotic fluid. The primary protective mechanism is the vernix caseosa.
Correct Answer is ["July 27"]
Explanation
Step 1 is to identify the first day of the last menstrual period (LMP), which is October 20.
Step 2 is to count back 3 months from October 20, resulting in July 20.
Step 3 is to add 1 year to July 20, resulting in July 20 of the following year.
Step 4 is to add 7 days to July 20, resulting in July 27.
Final calculated answer: July 27 of the following year.
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