Author Question: The pregnant patient has asked the nurse what kinds of medications cause birth defects. Which ... (Read 21 times)

berenicecastro · **on:** Jun 27, 2018

The pregnant patient has asked the nurse what kinds of medications cause birth defects. Which statement would best answer this question?

1. Birth defects are very rare. Don't worry; your doctor will watch for problems.
2. To be safe, don't take any medication without talking to your doctor.
3. Too much vitamin C is one of the most common issues.
4. Almost all medications will cause birth defects in the first trimester.

Question 2

During labor, the client at 4 cm suddenly becomes short of breath, cyanotic, and hypoxic.

The nurse must prepare or arrange immediately for which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Intravenous access
2. Cesarean delivery
3. Immediate vaginal delivery
4. McRoberts maneuver
5. A crash cart

amcvicar · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

2
Rationale 1: The nurse should avoid a don't worry answer to ensure therapeutic communication, but it is appropriate to instruct the patient to talk to the doctor about medications.
Rationale 2: The nurse should advise the patient to talk to her healthcare provider. Those medications with clear evidence of teratogenicity are classified in pregnancy category X, and should be avoided when conception is being attempted and during the first trimester.
Rationale 3: Vitamin C can cause rebound scurvy, but is not teratogenic.
Rationale 4: Not all medications are teratogenic.

Answer to Question 2

1, 2, 5
Explanation: 1. When an amniotic fluid embolism is suspected, intravenous access is obtained as quickly as possible.
2. Shortness of breath, cyanosis, and hypoxia are symptoms of an amniotic fluid embolus, which necessitates immediate cesarean delivery.
5. The chances of a code are high, so the crash cart needs to be available.