The nurse is caring for a pregnant patient with a history of asthma. Which medication will the nurse identify as contraindicated with pregnancy?

Salmeterol

Prednisone

Ibuterol

Par

Answer and Explanation

The Correct Answer is A

Choice A reason: Salmeterol, a long-acting beta-agonist (LABA), is generally not recommended for use during pregnancy due to potential risks to the fetes. It is typically avoided unless absolutely necessary and other safer options are not effective.

Choice B reason: Prednisone is a corticosteroid that can be used during pregnancy when necessary. It is often prescribed for managing severe asthma symptoms, but it should be used under close medical supervision to minimize potential risks.

Choice C reason: Ibuterol is a short-acting beta-agonist (SABA) and is generally considered safe for use during pregnancy. It is commonly used as a rescue inhaler to relieve acute asthma symptoms.

Choice D reason: The text for option D is incomplete and does not provide sufficient information to determine its relevance to the question.

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Correct Answer is ["A","B","C","D","E"]

Explanation

Choice A reason: Infants born to diabetic parents are at risk for failure to thrive due to potential complications during pregnancy, such as poor blood glucose control, which can affect fatal growth and development. Additionally, these infants may experience issues such as hypoglycaemia after birth, requiring careful monitoring and management. Furthermore, the long-term impact of maternal diabetes on the infant's metabolic health can contribute to growth concerns, emphasizing the need for diligent care and follow-up.

Choice B reason: Infants born to low-income parents are at risk for failure to thrive due to socioeconomic factors that can impact their growth and development. Low-income families may face challenges in accessing adequate nutrition, healthcare, and safe living conditions, all of which are critical for the healthy growth of infants. Additionally, stress and limited resources can affect parenting practices, potentially leading to inadequate stimulation and care, further contributing to the risk of growth and developmental delays.

Choice C reason: An infant with a cleft palate is at risk for failure to thrive because feeding difficulties are common in these cases. A cleft palate can affect an infant's ability to suck and swallow properly, leading to inadequate nutrient intake and growth issues. Proper feeding techniques and medical interventions are necessary to support these infants. Moreover, frequent respiratory infections and other complications associated with cleft palate can impact overall health and growth, necessitating comprehensive care and monitoring.

Choice D reason: Infants born to teenage parents may be at risk for failure to thrive due to various factors, including the potential lack of experience, resources, and social support for the young parents. Teenage parents may face difficulties in providing consistent and adequate care, which can impact the infant's growth and development. Additionally, teenage parents may struggle with their own developmental challenges, such as completing education and securing employment, which can affect their ability to provide a stable and nurturing environment for their child.

Choice E reason: An infant with tetralogy of Fallot, a congenital heart defect, is at risk for failure to thrive due to the potential impact on the infant's overall health and energy levels. Infants with this condition may have difficulty feeding and gaining weight due to the increased energy expenditure required to compensate for their heart condition. They may also require surgical interventions and ongoing medical care, which can further impact growth and development. The need for specialized care and monitoring underscores the importance of addressing the unique challenges faced by these infants.

A. A 6-year-old who has asthma and an oxygen saturation of 94% on room air. B. A 10-year-old who has sickle cell anaemia reporting severe chest pain. C. A 47-year-old who has diabetes insipidus with a urine specific gravity of 1.010. D. A 5-year-old who has respiratory syncytial virus (RSV) with a temperature of 102.2°F.

Correct Answer is B

Explanation

Choice A reason: While an oxygen saturation of 94% is slightly low, it is not an immediate emergency for a child with asthma. This patient can be monitored but does not require the nurse's immediate attention.

Choice B reason: Severe chest pain in a patient with sickle cell anaemia can indicate a serious complication known as acute chest syndrome, which is a medical emergency. This condition requires immediate assessment and intervention to prevent life-threatening complications.

Choice C reason: A urine specific gravity of 1.010 indicates dilute urine, which is typical for a patient with diabetes insipidus. While this condition requires management, it is not an immediate emergency compared to severe chest pain in a sickle cell anaemia patient.

Choice D reason: A fever of 102.2°F in a child with respiratory syncytial virus (RSV) is concerning and requires attention, but it is not as immediately life-threatening as severe chest pain in a sickle cell anaemia patient. This patient can be seen after addressing the more urgent case.

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The nurse is caring for a pregnant patient with a history of asthma. Which medication will the nurse identify as contraindicated with pregnancy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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