Author Question: A pregnant client tells you during a clinic visit that she is concerned about her significant ... (Read 89 times)

ereecah · **on:** Jun 28, 2018

A pregnant client tells you during a clinic visit that she is concerned about her significant other's change in behavior during the course of the pregnancy. She relates feelings of being afraid but emphatically denies any physical or verbal threats.

She confides in you that she has been using her mobile phone to find out more information about this subject. What is the most appropriate nursing response?

a. Tell her that all relationships change during pregnancy and give herself and her significant other some time to adapt to this situation by spending quality time with one another.
b. Tell the client that you are concerned for her and the baby; provide her with a phone number for a safe house just in case she needs to act quickly and leave the home situation.
c. Explore in more detail the client's feelings but tell her that you are concerned about searching information on the Internet as a stimulus trigger for potential abuse.
d. Do not let the client leave the clinic office and call the domestic abuse hotline number to report the incident.

Question 2

Which antidepressant is no longer recommended for use during pregnancy?

a. Sertraline (Zoloft)
b. Paroxetine (Paxil)
c. Fluoxetine (Prozac)
d. Citalopram (Celexa)

mmpiza · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
All health care providers should take comments of potential abuse seriously. Because there is no confirmation of abuse by the client's admission, additional investigation is warranted. Based on the facts presented, the nurse should be concerned that the client's significant other might be alerted to a potential trigger of violent behavior.

Answer to Question 2

ANS: B
Paroxetine (Paxil) is no longer recommended for use during pregnancy because there have been reports of congenital malformations. Zoloft, Prozac, and Celexa are antidepressants used during pregnancy, if indicated that without the medication the pregnant client would be at risk for severe depression.