The nurse is caring for a pregnant patient with a history of asthma. Which medication will the nurse identify as contraindicated with pregnancy?

Salmeterol

Prednisone

Ibuterol

Par

Answer and Explanation

The Correct Answer is A

Choice A reason: Salmeterol, a long-acting beta-agonist (LABA), is generally not recommended for use during pregnancy due to potential risks to the fetes. It is typically avoided unless absolutely necessary and other safer options are not effective.

Choice B reason: Prednisone is a corticosteroid that can be used during pregnancy when necessary. It is often prescribed for managing severe asthma symptoms, but it should be used under close medical supervision to minimize potential risks.

Choice C reason: Ibuterol is a short-acting beta-agonist (SABA) and is generally considered safe for use during pregnancy. It is commonly used as a rescue inhaler to relieve acute asthma symptoms.

Choice D reason: The text for option D is incomplete and does not provide sufficient information to determine its relevance to the question.

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Correct Answer is C

Explanation

Choice A reason: Beginning formula supplementation is not the first step in addressing issues with breastfeeding. Introducing formula might reduce the infant’s breastfeeding efficiency and disrupt milk supply. The focus should initially be on correcting the breastfeeding technique to ensure successful and comfortable breastfeeding for both mother and baby.

Choice B reason: Cleansing the breast with soap and water is not recommended as it can dry out the nipples and exacerbate cracking. It is more appropriate to clean the breasts with warm water and avoid harsh soaps that could strip natural oils and worsen nipple damage.

Choice C reason: Repositioning the baby is a crucial step in addressing breastfeeding issues such as cracked nipples and a painful latch. Ensuring a proper latch can significantly reduce nipple trauma and improve comfort during breastfeeding. Techniques like ensuring the baby’s mouth covers more areola and changing breastfeeding positions can help achieve a better latch.

Choice D reason: Administering ibuprofen may help relieve pain temporarily, but it does not address the root cause of the breastfeeding issue. The primary focus should be on correcting the baby's latch and positioning to prevent ongoing nipple damage and pain during breastfeeding. Pain management should be considered alongside addressing the underlying problems.

A. This cardiac defect is due to a folic acid deficiency in your diet when you were pregnant. B. PDAs are more commonly seen in male newborns. C. There is a 25% chance your next baby will also have a PDA. D. A risk factor for having a newborn who has a PDA is a family history of heart defects.

Correct Answer is D

Explanation

Choice A reason: A folic acid deficiency in the mother's diet during pregnancy is typically associated with neural tube defects, such as spina bifida, rather than causing patent ductus arteriosus (PDA).

Choice B reason: PDAs are not specifically more common in male newborns. This statement does not accurately reflect the risk factors associated with PDA.

Choice C reason: The statement about a 25% chance of having another baby with PDA is not accurate. While having one child with a heart defect may slightly increase the risk for subsequent children, the exact risk percentage varies and is not typically as high as 25%.

Choice D reason: A family history of heart defects is a known risk factor for PDA. Genetic predisposition can play a role in the occurrence of congenital heart defects, making this the correct answer.

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The nurse is caring for a pregnant patient with a history of asthma. Which medication will the nurse identify as contraindicated with pregnancy?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient who is two days postpartum and exclusively breastfeeding. Upon assessment, the patient has cracked nipples and a painful latch. What will the nurse include in the patient's plan of care?

Correct Answer is C

Explanation

A nurse is caring for a full-term newborn diagnosed with persistent/patent ductus arteriosus (PDA). The newborn's caregiver asks the nurse, "What causes a PDA?" How will the nurse answer this question?

Correct Answer is D

Explanation

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