What should the nurse educator teach as a common reason for ...

[TVarnum]

What should the nurse educator teach as a common reason for difficulty in assessing for side effects of medications during pregnancy?
 
  1. The mother is so uncomfortable with the pregnancy that she chooses to ignore the adverse effects.
  2. Adverse effects of medications are not experienced as often with pregnant women.
  3. Adverse effects of medications are often similar to common discomforts of pregnancy.
  4. The mother has increased blood volume, so the drugs are not strong enough to produce side effects.

Question 2

The nurse is teaching a prenatal class for mothers with a past history of drug abuse. Which factor would the nurse need to emphasize about the first trimester of pregnancy?
 
  1. There is very little chance of the fetus being affected by teratogens during this phase.
  2. Teratogenic agents taken during this phase can lead to structural malformation and spontaneous abortion.
  3. This is the preconceptional period of the pregnancy.
  4. Teratogenic agents during this phase do not cause severe malformations in the fetus.

[Tonny]

Answer to Question 1

Correct Answer: 3
Rationale 1: The mother would not ignore the adverse effects, because of potential harm to the fetus.
Rationale 2: Pregnant women have the same potential for experiencing adverse effects from drugs as do women who are not pregnant.
Rationale 3: Nausea, vomiting, abdominal cramps, flushed skin, and diaphoresis are also normal symptoms in pregnancy.
Rationale 4: Volume of blood may increase the strength of medication but this will not result in difficulty assessing side effects.
Global Rationale: Nausea, vomiting, abdominal cramps, flushed skin, and diaphoresis are also normal symptoms in pregnancy. The mother would not ignore the adverse effects, because of potential harm to the fetus. Pregnant women have the same potential for experiencing adverse effects from drugs as do women who are not pregnant. Volume of blood may increase the strength of medication but this will not result in difficulty assessing side effects.

Answer to Question 2

Correct Answer: 2
Rationale 1: This is the phase when teratogens have the greatest effect on the embryo.
Rationale 2: In this phase, all the body systems form.
Rationale 3: This is the embryonic period.
Rationale 4: This is the phase when teratogens have the greatest effect on the embryo resulting in possible severe malformations.
Global Rationale: In the first trimester of pregnancy, all the body systems form and this is the time when teratogens have the greatest effect on the embryo and can result in severe malformations. The first trimester is known as the embryonic phase.

[TVarnum]

Thank you!

[Tonny]

Always glad to help...