Author Question: The nurse teaches the prenatal class attendees about herbal medications that may cause uterine ... (Read 74 times)

MGLQZ · **on:** Jun 28, 2018

The nurse teaches the prenatal class attendees about herbal medications that may cause uterine contractions and preterm labor. Which of the following herbal preparations should be avoided because they act as uterine stimulants? (Select all that apply.)

A.
Black cohosh
B.
Dong quai
C.
Ephedra
D.
Mugwort
E.
Senna

Question 2

A student nurse is working in the OB clinic as part of a preceptorship. The student is counseling a woman in her first trimester who complains of insomnia due to nasal congestion.

Which action by the student warrants intervention by the student's preceptor?
A.
Advises the woman to use over-the-counter nasal saline spray
B.
Assesses the patient for other allergy and cold symptoms
C.
Instructs the woman to use decongestants and antihistamines
D.
Suggests the woman take a hot, steamy bath at bedtime

cici · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A, D
During preconception counseling and pregnancy, nurses should educate couples to avoid the following common uterine stimulants that may cause preterm labor: barberry, black cohosh, feverfew, goldenseal, mugwort, pennyroyal leaf, and yarrow root. Dong quai is an anticoagulant, ephedra is a cardiac stimulant, and senna can overstimulate digestion and metabolism, causing fluid and electrolyte imbalances.

Answer to Question 2

ANS: C
Congestion is a common complaint in pregnancy. Self-care measures include occasional saline drops; hot, steamy showers; increasing fluids;, and using a vaporizer or humidifier. It is important to rule out upper respiratory infections such as colds or allergies when a woman complains of nasal congestion. Women should avoid decongestants in the first trimester.