RN Maternal Newborn Online Practice 2023 B - ATI 100% guaranteed pass

A nurse is teaching a client who has a new prescription for combined oral contraceptives about potential adverse effects of the medication. For which of the following findings should the nurse instruct the client to notify the provider? A. Shortness of breath B. Breakthrough bleeding C. Vomiting D. Breast tenderness Answer: Shortness of breath A. Shortness of breath The nurse should instruct the client to notify the provider immediately of any shortness of breath. Shortness of breath and chest pain can indicate a pulmonary embolus or myocardial infarction. Also, the nurse should instruct the client to notify the provider of other adverse effects that can indicate potential complications, including abdominal pain, sudden or persistent headaches, blurred vision, and severe leg pain. B. Breakthrough bleeding Breakthrough bleeding outside the menstrual period is a common adverse effect of combined oral contraceptives. C. Vomiting Nausea and vomiting are common adverse effects of combined oral contraceptives. D. Breast tenderness Breast tenderness is a common adverse effect of combined oral contraceptives. A nurse is caring for a client following an amniocentesis at 18 weeks of gestation. Which of the following findings should the nurse report to the provider as a potential complication? A. Increased fetal movement B. Leakage of fluid from the vagina C. Upper abdominal discomfort D. Urinary frequency Answer: Leakage of fluid from the vagina A. Increased fetal movement Decreased fetal movement is a potential complication that should be reported to the provider. B. Leakage of fluid from the vagina Leakage of fluid from the vagina could indicate premature leakage of amniotic fluid and should be reported to the provider.