Concerning dental care during pregnancy, maternity nurses should ...

[bclement10]

Concerning dental care during pregnancy, maternity nurses should be aware that:
 
  1. dental care can be dropped on the priority list because the woman has enough to worry about and is getting a lot of calcium anyway.
  2. dental surgery in particular is contraindicated because of the psychologic stress it engenders.
  3. if dental treatment is necessary, the woman will be most comfortable with it in the second trimester.
  4. dental care will interfere with the expectant mother's need to practice conscious relaxation.

Question 2

Methotrexate is recommended as part of the treatment plan for which of the following obstetric complications?
 
  1. Complete hydatidiform mole
  2. Missed abortion
  3. Unruptured ectopic pregnancy
  4. Abruptio placentae

[Missbam101]

Answer to Question 1

3
1. Incorrect. Dental care, such as brushing with a fluoride toothpaste, is especially important during pregnancy because nausea during pregnancy may lead to poor oral hygiene.
2. Incorrect. Emergency dental surgery is okay; however, risks and benefits must be clearly understood.
3. Correct. The second trimester is best for dental treatment because that is when the woman will be able to sit most comfortably in the dental chair.
4. Incorrect. Conscious relaxation is useful, and it might even help her get through any den-tal appointments, but it is not a reason to avoid them.

Answer to Question 2

3
1, 2, 4. Incorrect. Methotrexate is not indicated or recommended as a treatment option for these conditions.
3. Correct. Methotrexate is an effective, nonsurgical treatment option for a hemodynamically stable woman whose ectopic pregnancy is unruptured and less than 4 cm in diameter.