A nurse in a provider's clinic is caring for a client who reports erectile dysfunction and requests a prescription for sildenafil. Which of the following medications currently prescribed for the client is a contraindication to taking sildenafil?

Rationale:

A. This response acknowledges the client's concern and provides accurate information about the unpredictability of urinary frequency during pregnancy.

B. While some clients may experience relief from urinary frequency after the first trimester, it is not guaranteed, and poor bladder tone is just one of many factors that can contribute to urinary frequency during pregnancy.

C. This statement is inaccurate as urinary frequency can occur throughout pregnancy due to hormonal changes and pressure from the growing uterus.

D. Dismissing the client's concern as a minor inconvenience is not appropriate and does not address the client's question.

Rationale:

A. Preterm delivery: While preterm delivery can result in low birth weight, it is not typically considered a direct cause of being small for gestational age (SGA). SGA infants are generally small because of intrauterine growth restriction rather than preterm birth.

B. Fetal hyperinsulinemia: Fetal hyperinsulinemia may lead to macrosomia (large for gestational age) rather than SG

A.

C. Perinatal asphyxia: Perinatal asphyxia refers to oxygen deprivation around the time of birth and is not typically associated with SG

A.

D. Placental insufficiency: Placental insufficiency, resulting in poor nutrient and oxygen transfer to the fetus, is a common cause of SG

A. Insufficient placental function can limit fetal growth,

leading to a newborn being small for their gestational age.