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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 B

Explanation

Choice A rationale

Blood returning to the right atrium from the pulmonary system is consistent with adult circulation, not fetal circulation. In fetal circulation, blood bypasses the lungs via the ductus arteriosus and foramen ovale since the fetus receives oxygenated blood from the placenta, not the lungs.

Choice B rationale

Blood is returning to the placenta via the umbilical arteries. In fetal circulation, deoxygenated blood is carried from the fetus to the placenta through the umbilical arteries. This is consistent with normal fetal circulation as the placenta is responsible for gas exchange.

Choice C rationale

Blood being shunted to the right side from the left side of the heart is incorrect. In fetal circulation, there is a right-to-left shunt through the foramen ovale, allowing blood to bypass the non-functioning fetal lungs and go directly into systemic circulation.

Choice D rationale

A right-to-left shunt is not seen between the umbilical arteries. Instead, the shunts in fetal circulation are the ductus venosus, ductus arteriosus, and foramen ovale, which help reroute blood away from the fetal lungs and liver.

A. Administer azithromycin 1 g PO one time. B. Administer ibuprofen 600 mg PO twice a day for pain. C. Notify all sexual partners within prior 30 days of the need for STI screening. D. Administer ceftriaxone 250 mg IM now. E. Repeat STI screening at next prenatal visit in 1 month. F. Notify the appropriate public health agency.

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.

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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?

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Naxlex Comprehensive Predictor Exams

After having an ultrasound, the fetus' heart shows that "normal fetal circulation is occurring.”. The RN is teaching a pregnant client about normal fetal circulation.Which of the following statements is consistent with the finding?

Correct Answer is B

Explanation

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

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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?