The adolescent patient reports to the clinic nurse that her ...

[silviawilliams41]

The adolescent patient reports to the clinic nurse that her period is late, but that her home pregnancy test is negative. What should the nurse explain that these findings most likely indicate?
 
  1. This means you are not pregnant..
  2. You might be pregnant, but it might be too early for your home test to be accurate..
  3. We don't trust home tests. Come to the clinic for a blood test..
  4. Most people don't use the tests correctly. Did you read the instructions?

Question 2

A client dilated to 5 cm has just received an epidural for pain. She complains of feeling lightheaded and dizzy within 10 minutes after the procedure. Her blood pressure was 120/80 before the procedure and is now 80/52.
 
  In addition to the bolus of fluids she has been given, which medication is preferred to increase her BP? 1. Epinephrine
  2. Terbutaline
  3. Ephedrine
  4. Epifoam

[juwms]

Answer to Question 1

2
Rationale 1: Although it might be true that she is not pregnant, this is not the best statement, because the pregnancy might be too early for a urine pregnancy test to detect.
Rationale 2: This is a true statement. Most home pregnancy tests have low false-positive rates, but the false-negative rate is slightly higher. Repeating the test in a week is recommended.
Rationale 3: This statement is not therapeutically worded. A clinic pregnancy test is usually a urine test.
Rationale 4: Although this statement gets at the need to read the instructions for the test, it is not therapeutically worded.

Answer to Question 2

3
Explanation: 3. Ephedrine is the medication of choice to increase maternal blood pressure.