The prenatal nurse is educating a woman regarding preconception ...

[WWatsford]

The prenatal nurse is educating a woman regarding preconception care. The patient informs the nurse that she is currently taking a benzodiazepine drug for management of anxiety.
 
  Appropriate teaching for this patient will include that benzodiazepines (Select all that apply.)
  a. readily cross into breast milk.
  b. are safe to take throughout pregnancy.
  c. enter fetal circulation.
  d. are not associated with ill effects on the infant following birth.
  e. may increase newborn muscle tone.

Question 2

What occurs with mania associated with bipolar disorder?
 
  a. Varying degrees of sadness
  b. Distinct episodes of elation
  c. Suicide
  d. Psychomotor retardation

[Juro]

Answer to Question 1

ANS: A, C
It is recommended that benzodiazepines not be administered during at least the first trimester of pregnancy. There may be an increased incidence of birth defects because these agents readily cross the placenta and enter fetal circulation. Mothers who are breastfeeding should not receive benzodiazepines regularly. The benzodiazepines readily cross into breast milk and exert a pharmacologic effect on the infant. If benzodiazepines are taken regularly during pregnancy, the infant should be monitored closely after delivery for signs of withdrawal, including hypotonia.

Answer to Question 2

ANS: B
Mania is characterized by distinct episodes of euphoria and elation. Sadness is characteristic of depression. Suicide is not generally associated with mania; it is more commonly associated with depression. Psychomotor retardation is not associated with mania.

[WWatsford]

TY

[Juro]

You're welcome