Author Question: The nurse preparing a teaching plan for an adolescent postpartum mother includes which topics? 1. ... (Read 56 times)

2125004343 · **on:** Jul 23, 2018

The nurse preparing a teaching plan for an adolescent postpartum mother includes which topics?

1. Most medications are secreted into breast milk.
2. The new mother's insulin will not be secreted into her breast milk.
3. Over-the-counter (OTC) drugs and herbal products are secreted into breast milk and have the potential to cause harm to the infant.
4. Topical medications must be avoided as these also are secreted into breast milk.
5. Most drugs are safe to take right after breastfeeding because they have not reached the blood stream yet.

Question 2

When possible, drug therapy is postponed until after pregnancy and lactation. However, certain acute and chronic conditions must be managed during pregnancy, including

1. epilepsy.
2. serious cystic acne.
3. sexually transmitted infections.
4. gestational diabetes.
5. hypertension.

nikmaaacs · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2,3
Rationale 1: The majority of drugs are secreted into breast milk.
Rationale 2: Insulin molecules are too large to be secreted into breast milk.
Rationale 3: OTC drugs and herbal products can be secreted into breast milk and have the potential to harm the infant. All products should be approved by the provider prior to use.
Rationale 4: Topical medications are not secreted into breast milk and are safe to use during breastfeeding. Topical medications could be ingested by the infant if applied to the nipple or breast.
Rationale 5: Drugs should only be taken during breastfeeding if the benefits to the mother outweigh the risks to the infant.

Answer to Question 2

Correct Answer: 1,3,4,5
Rationale 1: Epilepsy is a preexisting disease. It would not be wise to discontinue therapy during pregnancy and lactation.
Rationale 2: Cystic acne may be treated with isotretinoin (Accutane). Isotretinoin is a Class X drug and can cause fetal brain damage. Other antibiotics such as tetracycline are Class D and should not be used in pregnancy.
Rationale 3: Sexually transmitted infections can harm the fetus.
Rationale 4: Gestational diabetes is a complication related to pregnancy that must be treated for the safety of both the mother and growing fetus.
Rationale 5: If hypertension is present prior to pregnancy, it would be unwise to discontinue therapy during pregnancy and lactation.