A patient with asthma who is 32 weeks pregnant is concerned that ...

[karen]

A patient with asthma who is 32 weeks pregnant is concerned that the health care provider has reduced the doses of asthma maintenance medications. What should the nurse respond to this patient's concern?
 
  A) Asthma medication is teratogenic and should not be taken.
  B) Asthma improves during pregnancy so higher doses are not needed.
  C) Asthma medication may reduce labor contractions and should be reduced.
  D) Asthma medication is ineffective during pregnancy and should be stopped.

Question 2

The nurse is teaching new parents how to calculate the amount of formula to feed their newborn each day. The baby weighs 8 lb. How much formula should the nurse teach the parents to provide each day?
 
  A) 20 to 24 oz
  B) 30 to 36 oz
  C) 42 to 54 oz
  D) 60 to 72 oz

[31809pancho]

Answer to Question 1

C
Feedback:
Some asthma maintenance medication such as beta-adrenergic agonists may be taken safely during pregnancy, but they have the potential to reduce labor contractions. The doses of these medications may be reduced as the patient approaches the time of delivery. Not all asthma medication is teratogenic. Asthma can improve during pregnancy because of circulating corticosteroids; however, the doses of the medications should have already been adjusted according to the patient's symptoms. There is no evidence to support that asthma medication is ineffective during pregnancy.

Answer to Question 2

A
Feedback:
The total fluid ingested for 24 hours must be sufficient to meet the infant's fluid needs and is calculated by determining 75 to 90 ml or 2.5 to 3.0 oz of fluid per pound of body weight per day. Because the infant weighs 8 lb, the amount of formula would be between 8.0  2.5 or 20 oz and 8.0  3.0 or 24 oz. The other choices are inaccurate calculations for the amount of formula to provide to an infant weighing 8 lb.