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
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
Explanation
Choice A reason: The Human Papillomavirus (HPV) vaccine is typically recommended for preteens at age 11 or 12 to protect against HPV infections that can lead to certain types of cancer later in life. This vaccine is given as a series of shots, and starting the series at 11 years old is ideal for maximizing its effectiveness before any potential exposure to the virus.
Choice B reason: The Pneumococcal vaccine is generally recommended for infants, young children, and older adults, particularly those with certain health conditions. It protects against pneumococcal disease, including infections in the lungs, blood, and brain. While it is crucial for vulnerable populations, it is not typically administered to healthy 11-year-old children.
Choice C reason: The Measles vaccine is part of the MMR (Measles, Mumps, Rubella) vaccine, which is usually administered in two doses—the first dose at 12-15 months of age and the second dose at 4-6 years of age. By the time a child reaches 11 years old, they would have already received both doses of the MMR vaccine, assuming they followed the standard vaccination schedule.
Choice D reason: The Rubella vaccine is also included in the MMR vaccine, which is given in two doses during early childhood. Since the second dose is typically administered by the age of 6, an 11-year-old child would not require another dose of the Rubella vaccine if they followed the standard vaccination schedule.
Correct Answer is B
Explanation
Choice A reason: Misoprostol is used to induce Labor and is not typically used to manage irregular contractions at 32 weeks gestation.
Choice B reason: Magnesium Sulphate is often used in cases of preterm Labor to relax the uterine muscles and prevent contractions, thereby helping to delay delivery and reduce the risk of complications for the baby.
Choice C reason: Butorphanol is a pain reliever and is not typically used to manage irregular contractions in pregnancy.
Choice D reason: Metoprolol is a beta-blocker used to treat high blood pressure and other heart conditions, but it is not used to manage irregular contractions in pregnancy.
Choice E reason: "Tint" is not a medication and does not relate to the management of irregular contractions in pregnancy.
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