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.
Mother about to pick up a cub by the neck
A mother and her pups in a suburban yard in late May
The patient and his family meet with the nurse to discuss progress on the patient care plan.
Adolescent females who participate in activities such as ballet are at risk for eating disorders
Application of an ostomy bag or pouch: B, An ostomy nurse applying an ostomy bag to a stoma;
Develop a Patient Teaching Handout About Stress