The pregnant client plans to breast-feed her baby. She asks the ...

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The pregnant client plans to breast-feed her baby. She asks the nurse about the use of herbal products during breast-feeding. Which response by the nurse is the most appropriate?
 
  1. That should be fine as long as at least 12 hours pass between the time you use the product and when you breast-feed.
  2. Most drugs can be transferred to the infant during breast-feeding, so this is not recommended.
  3. Herbal products are considered natural, so it should be fine to use them during breast-feeding.
  4. Be sure to check the label to see whether the herbal product can be used during breast-feeding.

Question 2

The nurse tells the expectant mothers during their last prenatal class that their fetus might receive a larger dose of a drug in the later period of their pregnancy. Which processes in the mother's body systems are responsible for this action?
 
  1. Blood flow to placenta increases, and placental vascular membranes become thicker.
  2. Blood flow to placenta decreases, and placental vascular membranes become thicker.
  3. Blood flow to placenta increases, and placental vascular membranes become thinner.
  4. Blood flow to placenta decreases, and placental vascular membranes become thinner.

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Answer to Question 1

Correct Answer: 2
Rationale 1: Research data does not support this statement.
Rationale 2: The majority of drugs are secreted into breast milk to some extent.
Rationale 3: Herbal products can be transferred through breast milk and can be toxic to the newborn.
Rationale 4: Herbal products may not have to include factual information on their labels. All drugs should be discussed with a provider prior to consuming while breast-feeding.
Global Rationale: The majority of drugs are secreted into breast milk to some extent. Research data does not support this statement of needing 12 hours between taking a medication and breastfeeding. Herbal products can be transferred through breast milk and can be toxic to the newborn. Herbal products may not have to include factual information on their labels. All drugs should be discussed with a provider prior to consuming while breast-feeding.

Answer to Question 2

Correct Answer: 3
Rationale 1: The placenta vascular membranes become thinner.
Rationale 2: The blood flow to the placenta increases and the placenta vascular membranes become thinner.
Rationale 3: Blood flow to placenta increases, and placental vascular membranes become thinner, allowing for more substances to be transferred through the placenta.
Rationale 4: The blood flow to the placenta increases.
Global Rationale: Blood flow to placenta increases, and placental vascular membranes become thinner, allowing for more substances to be transferred through the placenta. The placenta vascular membranes become thinner, not thicker. The blood flow to the placenta increases and the placenta vascular membranes become thinner, not thicker. The blood flow to the placenta increases, not decreases.

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Excellent

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TYSM