A patient has just given birth to a baby boy with a cleft palate. ...

[Mr.Thesaxman]

A patient has just given birth to a baby boy with a cleft palate. The nurse will review the patient's medication history with special emphasis on drugs taken during which period?
 
  a. Before she became pregnant
  b. During the first trimester
  c. During the second trimester
  d. During the third trimester

Question 2

A patient with schizophrenia has been taking an antipsychotic drug for several days. The nurse enters the patient's room to administer a dose of haloperidol Haldol and finds the patient hav-ing facial spasms.
 
  The patient's head is thrust back, and the patient is unable to speak. What will the nurse do? a. Administer the haloperidol as ordered.
  b. Discuss increasing the haloperidol dose with the provider.
  c. Request an order to give diphenhydra-mine.
  d. Request an order to give levodopa.

[lkoler]

Answer to Question 1

B
Gross malformations typically are the result of teratogens consumed during the first trimester. Using teratogenic drugs before becoming pregnant is a risk because 50 of pregnancies are un-intended, and a patient could become pregnant while taking the drug. Exposure to teratogens during the second or third trimester usually alters function, not gross anatomy.

Answer to Question 2

C
An early reaction to antipsychotic drugs is acute dystonia. Initial treatment consists of an anti-cholinergic medication, such as diphenhydramine. Administering more antipsychotic medication would increase the symptoms and could be life threatening. Levodopa is not given for extrapy-ramidal symptoms, because it could counteract the beneficial effects of antipsychotic treatment.

[Mr.Thesaxman]

TYSM

[Jossy]

Thanks for the timely response, appreciate it