The nurse should teach a pregnant woman that which substances are teratogens? (Select all that apply.).

Cigarette smoke.

Isotretinoin (Retin A).

Vitamin C.

Salicylic acid.

Rubella.

Answer and Explanation

Correct Answer : A,B,E

Choice A rationale:

Cigarette smoke contains harmful chemicals that can cause birth defects and other complications during pregnancy. Pregnant women should avoid exposure to cigarette smoke to protect the developing fetus.

Choice B rationale:

Isotretinoin (Retin A) is a medication used to treat severe acne. It is known to cause severe birth defects and should be avoided during pregnancy. Women of childbearing age who are prescribed isotretinoin must use effective contraception to prevent pregnancy while taking the medication.

Choice C rationale:

Vitamin C, also known as ascorbic acid, is a water-soluble vitamin that is essential for various bodily functions. It is not a teratogen and is safe for consumption during pregnancy in recommended amounts. In fact, pregnant women are encouraged to consume an adequate amount of vitamin C to support their overall health and the development of the baby.

Choice D rationale:

Salicylic acid is commonly found in skincare products and is used to treat acne. While oral use of high doses of salicylic acid during pregnancy can be harmful, the small amounts used in topical skincare products are generally considered safe. However, it's advisable for pregnant women to use salicylic acid-containing products in moderation.

Choice E rationale:

Rubella, also known as German measles, is a contagious viral infection that can cause birth defects if a pregnant woman becomes infected, especially during the early stages of pregnancy. Rubella vaccination before pregnancy is recommended to prevent congenital rubella syndrome.

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Correct Answer is D

Explanation

Choice A rationale:

Do not administer pancreatic enzymes if the child is receiving antibiotics. Rationale: There is no specific contraindication to administering pancreatic enzymes while the child is receiving antibiotics. Pancreatic enzymes are essential for the digestion and absorption of nutrients in children with cystic fibrosis, and they should be continued even if the child is on antibiotics.

Choice B rationale:

Decrease dose of pancreatic enzymes if the child is having frequent, bulky stools. Rationale: Bulky, foul-smelling stools are common in cystic fibrosis due to malabsorption of nutrients. Pancreatic enzyme replacement therapy is crucial to aid in the digestion of fats and proteins. If the child is experiencing frequent, bulky stools, it may indicate inadequate enzyme dosage, and the healthcare provider should be consulted to adjust the dosage or formulation of pancreatic enzymes. Choice

A. Weigh the infant every day on the same scale at the same time. B. Notify the physician when weight gain exceeds more than 20 g/day. C. Put the infant in a car seat to minimize movement. D. Administer digoxin as ordered by the physician.

Correct Answer is A

Explanation

Choice A rationale:
Weighing the infant every day on the same scale at the same time is crucial in monitoring excess fluid volume in congestive heart failure. Sudden weight gain can indicate fluid retention, a common sign of worsening heart failure. Daily weight monitoring helps in early detection and timely intervention.
Choice B rationale:
Notifying the physician when weight gain exceeds more than 20 g/day might be too late for intervention. Daily weight monitoring is essential to detect trends and intervene promptly to manage excess fluid volume.
Choice C rationale:
Placing the infant in a car seat to minimize movement is not directly related to managing excess fluid volume in congestive heart failure. It is essential for safety during transportation but does not address the nursing diagnosis.
Choice D rationale:
Administering digoxin as ordered by the physician is a medical intervention for congestive heart failure. While important, the nursing diagnosis is related to excess fluid volume, and the focus should be on nursing interventions such as monitoring daily weights.

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The nurse should teach a pregnant woman that which substances are teratogens? (Select all that apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Pancreatic enzymes are administered to the child with cystic fibrosis.What information should be included in patient education concerning the administration of these enzymes?

Correct Answer is D

Explanation

Which intervention should be included in the plan of care for an infant with the nursing diagnosis of Excess Fluid Volume related to congestive heart failure?

Correct Answer is A

Explanation

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