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A nurse is teaching a client that is HIV positive about HIV treatment.
The client is 16 weeks pregnant.
Which statement made by the client indicates that she needs more teaching?

During labor, I will get Zidovudine (ZVD) through my IV.

I am planning to breast and bottle feed my baby.

My baby will get Zidovudine (ZVD) orally right after birth for 6 weeks.

During pregnancy, I will take my Zidovudine (ZVD) tablet at the same time every day.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Zidovudine (ZVD) is given intravenously during labor to reduce the risk of mother-to-child transmission of HIV.

Choice B rationale

HIV-positive mothers are advised not to breastfeed as HIV can be transmitted through breast milk. This statement indicates the need for further teaching.

Choice C rationale

Administering Zidovudine (ZVD) orally to the baby immediately after birth for 6 weeks is standard practice to prevent HIV transmission.

Choice D rationale

Adherence to taking Zidovudine (ZVD) at the same time every day during pregnancy is crucial for maintaining effective drug levels and reducing the risk of mother-to-child transmission.

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Correct Answer is {"A":{"answers":"A"},"B":{"answers":"C"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"}}

Explanation

Choice A Rationale

Administer azithromycin 1 g PO one time: Anticipated. Azithromycin is commonly used to treat chlamydia infections during pregnancy and is considered safe.

Choice B Rationale

Administer ibuprofen 600 mg PO twice a day for pain: Contraindicated. Ibuprofen is generally avoided during pregnancy, especially in the third trimester, due to risks such as premature closure of the fetal ductus arteriosus.

Choice C Rationale

Notify all sexual partners within prior 30 days of the need for STI screening: Anticipated. Notification of sexual partners for STI screening is a standard public health practice to prevent the spread of infections.

Choice D Rationale

Administer ceftriaxone 250 mg IM now: Anticipated. Ceftriaxone is often used to treat gonorrhea infections during pregnancy and is considered safe for both mother and fetus.

Choice E Rationale

Repeat STI screening at next prenatal visit in 1 month: Anticipated. Repeating STI screening can help ensure that any new or untreated infections are identified and managed appropriately.

Choice F Rationale

Notify the appropriate public health agency: Anticipated. Reporting certain STIs to public health agencies is required by law to help track and control the spread of infections.

A. Fetal nutrition and excretion are carried out by the placenta. B. Fetal respirations are carried out by the placenta. C. The placenta filters harmful substances from maternal blood. D. The placenta receives maternal blood from the uterine arteries.

Correct Answer is C

Explanation

Choice A rationale

Fetal nutrition and excretion are carried out by the placenta. This statement is correct. The placenta provides essential nutrients to the fetus and removes waste products from fetal blood.

Choice B rationale

Fetal respirations are carried out by the placenta. This statement is correct. The placenta facilitates gas exchange, providing oxygen to the fetus and removing carbon dioxide.

Choice C rationale

The placenta filters harmful substances from maternal blood. This statement is incorrect. While the placenta provides some barrier function, it does not filter all harmful substances from maternal blood, and certain drugs and toxins can cross the placental barrier and affect the fetus.

Choice D rationale

The placenta receives maternal blood from the uterine arteries. This statement is correct. Maternal blood flows to the placenta via the uterine arteries, supplying oxygen and nutrients to the fetal side of the placenta.

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A nurse is teaching a client that is HIV positive about HIV treatment.The client is 16 weeks pregnant.Which statement made by the client indicates that she needs more teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

For each potential prescription from the provider, specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"C"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"}}

Explanation

A pregnant client asks about the functions of the placenta.Which of the following items should the nurse NOT include in the teaching plan?

Correct Answer is C

Explanation

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A nurse is teaching a client that is HIV positive about HIV treatment.
The client is 16 weeks pregnant.
Which statement made by the client indicates that she needs more teaching?