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

Administer azithromycin 1 g PO one time.

Administer ibuprofen 600 mg PO twice a day for pain.

Notify all sexual partners within prior 30 days of the need for STI screening.

Administer ceftriaxone 250 mg IM now.

Repeat STI screening at next prenatal visit in 1 month.

Notify the appropriate public health agency.

Answer and Explanation

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

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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Correct Answer is B

Explanation

Choice A rationale

Maintaining a folic acid intake of 4 mcg per day is not sufficient. The recommended dose for pregnant women is 400-800 mcg to help prevent neural tube defects, but it is not specifically related to reducing the risk of preterm labor.

Choice B rationale

Increasing fluid intake to 8-10 (8 oz) glasses per day is recommended as it helps to maintain hydration, which is crucial in preventing preterm labor. Dehydration can cause uterine contractions, which can lead to preterm labor.

Choice C rationale

Consuming the recommended daily allowance of vitamin C (85 mg) is important for immune function and overall health but does not directly affect the risk of preterm labor.

Choice D rationale

Increasing caloric intake by 500 calories per day is typically recommended for breastfeeding mothers, not for preventing preterm labor during pregnancy. Proper nutrition is important, but overconsumption can lead to excessive weight gain.

A. It prevents the formation of Rh antibodies. B. It prevents the formation of Rh antibodies in newborns who are Rh positive. C. It destroys Rh antibodies in mothers who are Rh negative. D. It destroys Rh antibodies in newborns who are Rh positive.

Correct Answer is A

Explanation

Choice A rationale

Rh(D) immunoglobulin prevents the formation of Rh antibodies in Rh-negative mothers. This is crucial to prevent Rh sensitization, which can lead to hemolytic disease of the newborn in current and future pregnancies.

Choice B rationale

Rh(D) immunoglobulin does not prevent the formation of Rh antibodies in newborns who are Rh positive. Instead, it works by preventing the mother's immune system from recognizing Rh-positive fetal cells.

Choice C rationale

Rh(D) immunoglobulin does not destroy Rh antibodies in Rh-negative mothers. Its purpose is to prevent the formation of these antibodies in the first place.

Choice D rationale

Rh(D) immunoglobulin does not destroy Rh antibodies in newborns who are Rh positive. The newborn's immune system is not targeted by this immunoglobulin.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client during her first prenatal visit.Which of the following should the nurse include in the teaching to decrease the risk of preterm labor?

Correct Answer is B

Explanation

A nurse is teaching a client who is 26 weeks pregnant and will be receiving an injection of Rh(D) immunoglobulin.Which of the following should be included in the teaching?

Correct Answer is A

Explanation

The nurse who is assessing a G2 P1 client palpates the fundal height at the location noted on the picture below (near the umbilicus). The nurse concludes that the fetus is equal to which of the following gestational ages?

A pregnant patient enjoys exercising at a local health spa once a week.Which patient comment indicates to the nurse that more health teaching is needed?

At her first prenatal visit, a woman and the nurse are discussing fetal development.The client asks, "When will we be able to hear the baby's heartbeat?" The nurse should reply, The fetal heartbeat can be heard with a Doppler at:

During the initial visit with the nurse at the fertility clinic, the patient asks what effect cigarette smoking or heavy alcohol intake has on the ability to conceive.What is the nurse's best response?

The nurse knows that a normal physiologic alteration of the circulatory system associated with thromboembolic events in pregnancy is:

The student nurse is preparing a presentation on the nutritional needs of pregnant teens.Which items should be included in her teaching plan? (Select all that Apply)

A newborn weighs 3400 grams. The healthcare provider has ordered 0.2 mg/kg of atropine sulfate subcutaneously. Based on the label below, how much will the nurse administer in mL? (Write in your answer).

A nurse is providing teaching about nutrition to a client at her first prenatal visit.Which of the following statements by the nurse should be included in the teaching?