Author Question: A patient in the second trimester of pregnancy is diagnosed with cervical cancer. For which ... (Read 71 times)

washai · **on:** Jun 27, 2018

A patient in the second trimester of pregnancy is diagnosed with cervical cancer. For which treatment should the nurse instruct the patient as causing the least harm to the developing fetal?

A) Chemotherapy
B) Chelation therapy
C) Radiation therapy
D) Anticoagulant therapy

Question 2

The nurse is designing a plan of care for a pregnant patient with inflammatory bowel disease. What should be included in this patient's plan? (Select all that apply.)

A) Instruct on the need for early cesarean birth.
B) Carefully measure the patient's weight with each prenatal visit.
C) Suggest fluids and oral food intake be restricted to rest the bowel.
D) Explain the need for gamma globulin injections during the last trimester.
E) Ensure that the patient is taking anti-inflammatory medication as prescribed.

aadams68 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
Feedback:
As a rule, patients can receive chemotherapy in the second and third trimesters without adverse fetal effects. Radiation therapy puts the fetus at risk throughout pregnancy if the fetus is directly exposed. Chelation and anticoagulants are not therapies associated with cancer treatment.

Answer to Question 2

B, E
Feedback:
Because of the potential difficulty with absorbing nutrients, the pregnant patient with inflammatory bowel disease needs careful monitoring for weight gain during pregnancy. Anti-inflammatory medication may be continued during pregnancy without fetal injury. The patient does not need a cesarean birth for this health problem. Foods and fluids should not be restricted because the patient has difficulty absorbing nutrients anyway. Gamma globulin injections are not indicated for this disorder