NURS 6521 Life Span- Pregnant or Breast-Feeding Women (VERIFIED)

1. . A pregnant patient asks the nurse what over-the-counter medication she can take for recurring headaches. The nurse should recommend 2. A patient is pregnant and is at 7 weeks' gestation. She has type 1 diabetes and has been taking insulin since she was 13 years old. She asks the nurse if the insulin will be harmful to her baby. The best response to the patient by the nurse would be 3. A 36-year-old patient comes to the clinic and tells the nurse that she suspects that she is pregnant. During the initial assessment, the nurse learns that the patient is currently taking medications for diabetes, hypertension, and a seizure disorder. The nurse would be most concerned about which of the following medications? 4. A 38-year-old pregnant patient admits to the nurse that she is an alcoholic and has been consuming alcohol during her pregnancy. The nurse knows that using alcohol during pregnancy may result in a child who presents with 5. A 29-year-old pregnant patient is extremely upset about having to take medication for a pre-existing medical condition. She is consumed with fear that her baby will be born with a physical deformity or a congenital anomaly but knows that she has to take the medication. She talks constantly about this and is unable to sleep most nights. Which of the following is the most appropriate nursing diagnosis for this patient is? 6. A woman is receiving prolonged drug therapy during her complicated pregnancy, and it may pose a risk to both the mother and the fetus. The primary care physician has made dosage adjustments to minimize adverse effects and prevent toxicity. The nurse should make sure 7. A patient is receiving radiotherapy for an overactive thyroid gland and asks whether her milk is safe for her baby. If her treatment cannot be discontinued, what should the nurse recommend? 8. The nurse practitioner has recommended that a breast-feeding woman take her prescribed medications just before her infant takes his longest nap of the day. The woman does not understand and asks the nurse to explain. The nurse will tell the woman that the recommendation was made to 9. A nurse is explaining to a pregnant 21-year-old college student why she cannot continue to take ibuprofen (Advil) for her headaches. The nurse draws a picture depicting drug molecules crossing the placental membrane and entering into the fetal circulation. The nurse tells the patient that the main reason this happens is because 10. A nurse is working with a 16-year-old pregnant teen and assessing for behavior that may put the baby at risk. The most important assessment the nurse can make is 11. A nurse provides care in a primary health clinic that is located in an inner-city neighborhood. Many patients who utilize the clinic are young women and the birth rate in the area is high. At what point should the nurse best begin to teach a young, female client about the risks of teratogens and potential fetal drug effects? 12. Megan is a 20-year-old college student who has presented to the campus medical clinic with an unplanned pregnancy. Despite being under significant stress from this event, she has focused herself on doing all she can to maximize her own health and the health of the fetus. What teaching point should the nurse prioritize during patient education with Megan? 13. A pregnant patient has scheduled a visit with her care provider because she has been vomiting up to six times daily for the past several days. The patient states that she knows that nausea is a common accompaniment to pregnancy, but she feels overwhelmed and debilitated by this pattern. How should the nurse best interpret the patient's complaints? 14. The nurse recognizes that the potential for teratogenic drug effects is not static throughout the prenatal and postnatal periods. The potential for teratogenic effects is highest during 15. A nurse practitioner is reviewing the prepregnancy medication regimen of a patient who has just had a positive pregnancy test. The nurse should be aware of which of the following changes in pharmacokinetics that accompanies pregnancy?