A client asks the nurse about the role of medication use during pregnancy in the development of congenital heart diseases. How should the nurse respond?
"All medications are safe to use during pregnancy and do not impact the baby's heart development."
"Certain medications, such as antihypertensives, are known to increase the risk of congenital heart diseases."
"Avoid all vaccinations during pregnancy to prevent potential heart defects in the baby."
"Medication use during pregnancy has no impact on the baby's heart development."
The Correct Answer is B
A) This option is incorrect. Not all medications are safe to use during pregnancy, and some may pose risks to the developing baby, including potential congenital heart defects.
B) Correct answer. Some medications, like certain antihypertensives and medications with known teratogenic effects, can increase the risk of congenital heart diseases if used during pregnancy. It is essential for pregnant individuals to work closely with their healthcare providers to manage any medical conditions and choose safe medications during pregnancy.
C) This option is incorrect. Some vaccinations are recommended during pregnancy to protect both the mother and the baby from certain infections. Properly administered vaccinations during pregnancy are generally safe and do not significantly impact heart development.
D) This option is incorrect. Medication use during pregnancy can have various effects on the developing baby, and certain medications may increase the risk of congenital heart diseases.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) This option is incorrect. Difficulty swallowing and poor feeding may indicate other issues, such as gastrointestinal problems, but they are not early symptoms specific to congenital heart diseases.
B) Correct answer. Cyanosis (bluish skin or lips) during crying or feeding is an early clinical finding that may indicate inadequate oxygenation due to heart defects. This symptom is especially prominent in cyanotic congenital heart diseases.
C) This option is incorrect. Persistent cough and recurrent respiratory infections may be related to respiratory issues but are not specific early symptoms of congenital heart diseases.
D) This option is incorrect. Excessive weight gain and a rapid growth rate are not typical early symptoms of congenital heart diseases.
Correct Answer is A
Explanation
A) Correct answer. Decreased appetite and difficulty sleeping are common signs of heart failure in children with congenital heart diseases. Heart failure can lead to poor circulation, decreased cardiac output, and inadequate oxygenation, resulting in reduced appetite and difficulty sleeping due to increased effort in breathing.
B) This option is incorrect. Rapid growth and development milestones achieved ahead of schedule are not indicative of heart failure in children with congenital heart diseases.
C) This option is incorrect. Decreased heart rate and low blood pressure may be signs of cardiovascular compromise, but they are not specific to heart failure.
D) This option is incorrect. Frequent episodes of irritability and excessive crying may be present in infants with heart defects, but they are not specific to heart failure in toddlers.
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