When reviewing a client's history, a nurse determines that the use of laxatives would be contraindicated if the client has a history of which of the following?

Choice A rationale:

Influenza vaccine is not contraindicated during pregnancy. In fact, the influenza vaccine is recommended for pregnant women because they are at higher risk of complications from influenza. It can protect both the pregnant woman and her baby from the flu.

Choice B rationale:

Tetanus vaccine is not contraindicated during pregnancy. In fact, tetanus vaccination during pregnancy is essential to protect both the mother and the newborn. Tetanus can be life-threatening, and vaccination is a preventive measure.

Choice C rationale:

Rhogam is contraindicated during pregnancy if the mother is Rh-negative and the baby is also Rh-negative. Rhogam is given to Rh-negative mothers to prevent sensitization to Rh-positive blood in case of fetal-maternal bleeding. If both the mother and baby are Rh-negative, there's no need for Rhogam during pregnancy.

Choice D rationale:

MMR (Measles, Mumps, Rubella) vaccine is contraindicated during pregnancy. It contains live attenuated viruses and is generally not recommended for pregnant women due to the theoretical risk of transmitting the virus to the developing fetus. It's typically given postpartum if the woman is not already immune to these diseases.

Choice A rationale:

Drowsiness is not a common adverse reaction to cephalosporin antibiotics. It is more likely to be associated with medications that have sedative effects.

Choice B rationale:

Headache is a possible adverse reaction to cephalosporins, but it is not a common or specific symptom that the patient needs to report. Headaches are a relatively mild and self-limiting side effect.

Choice C rationale:

Constipation is not a typical adverse reaction to cephalosporin therapy. Gastrointestinal side effects associated with these antibiotics are more commonly diarrhea or nausea. Hypertension (Choice D) is a potential adverse reaction to cephalosporin antibiotics, particularly in patients who are sensitive to changes in blood pressure. It's important for the patient to recognize this symptom and report it promptly, as uncontrolled hypertension can lead to serious health problems. .