A 17-year-old pregnant female in her first trimester presents with symptoms of allergic rhinitis. The nurse practitioner should NOT recommend:
cetirizine (Zyrtec).
diphenhydramine (Benadryl).
loratadine (Claritin).
pseudoephedrine (Sudafed).
The Correct Answer is D
Rationale:
A. Cetirizine (Zyrtec) is a second-generation antihistamine considered safe for use in pregnancy, particularly after the first trimester.
B. Diphenhydramine (Benadryl) is a first-generation antihistamine generally regarded as safe in pregnancy.
C. Loratadine (Claritin) is also considered safe during pregnancy and commonly used for allergic rhinitis.
D. Pseudoephedrine (Sudafed) is a decongestant that should be avoided, especially in the first trimester, because it can reduce uteroplacental blood flow and has been associated with a small risk of congenital malformations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Asperger syndrome is characterized by social interaction difficulties and restricted interests but does not typically include pervasive loss of pleasure or significant mood disturbances.
B. Autism spectrum disorder (ASD) involves deficits in social communication and repetitive behaviors, but the core symptoms do not primarily include sleep disturbances, decreased concentration, or anhedonia.
C. Pervasive developmental disorder (PDD) is an outdated term encompassing ASD and related disorders; mood symptoms are not central.
D. Childhood depression is suggested by symptoms such as sleep disturbances, poor school performance, decreased concentration, and anhedonia (loss of pleasure in activities). Early recognition is crucial for timely intervention, including behavioral therapy or pharmacologic treatment if indicated.
Correct Answer is B
Explanation
Rationale:
A. Erythema multiforme is a hypersensitivity reaction characterized by target-like lesions, not related to seborrheic dermatitis.
B. Cradle cap is the common term for seborrheic dermatitis in infants, typically presenting as greasy, yellowish scales on the scalp. It is usually benign and self-limited.
C. Hives, or urticaria, are raised, itchy wheals caused by allergic reactions and are distinct from seborrheic dermatitis.
D. Impetigo is a bacterial skin infection, often with honey-colored crusts, and is not related to seborrheic dermatitis.
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