pharm ch.6- pregnancy PREP U
A patient arrives at the clinic and states that she is going to be traveling outside of the United States and requires a smallpox vaccine. What laboratory study should the patient have prior to receiving the vaccine?
a pregnancy test
A pregnant client is concerned that she will be unable to get her yearly flu shot. Which of the following is the best response the nurse can give to this client?
as long as it is not a live-virus vaccine, it will be safe
Mrs. Allen develops a headache and asks the nurse if it is safe to take aspirin 1 hour before breast-feeding. What is an appropriate response?
aspirin should be avoided during lactation; consult your physician
Mrs. Smith is considering pregnancy; she is healthy and does not take prescription medications. She asks the nurse for advice. What should the nurse suggest this client do?
avoid OTC meds before pregnancy
Mrs. Herrera discovers she is pregnant. She asks the physician for a rubella vaccination. What does the nurse anticipate the physician will do?
decline because the rubella vaccine is a live-virus vaccine
A nurse is explaining to a pregnant 21-year-old college student why she cannot continue to take ibuprofen (Advil) for her headaches. The nurse draws a picture depicting drug molecules crossing the placental membrane and entering into the fetal circulation. The nurse tells the patient that the main reason this happens is because
drugs compete with the hormones of pregnancy for albumin binding sites
what vaccine is safe to give during pregnancy?
flu vaccine
A nurse is performing health education with a woman who has just learned that she is pregnant. The nurse has explained the concept of teratogenic drugs and emphasized the need to have her care provider assess any medications she should consider taking. The nurse should teach the woman that drug-induced teratogenicity is most likely to occur at what point in her pregnancy?
in her first trimester during organogenesis
A nurse practitioner is reviewing the prepregnancy medication regimen of a patient who has just had a positive pregnancy test. The nurse should be aware of which of the following changes in pharmacokinetics that accompanies pregnancy?
increased drug distribution resulting from hemodynamic changes
A client mentions at her prenatal visit that she has been using an OTC cough syrup with alcohol. The nurse is concerned and suggests an alternative therapy for which of the following reasons?
no amount of alcohol is considered safe during pregnancy
Before a pregnant client is given any medication, consideration must be given to its effects on the fetus. The main concern is for medications that potentially have which of the following effects?
teratogenic
A nurse is teaching a newly pregnant woman about the care team's strategy for helping her manage her medications during pregnancy. The overriding principle that the nurse should describe to the patient is that..
the benefits of a drug to the mother must outweigh the potential risks to the fetus
The nurse recognizes that the potential for teratogenic drug effects is not static throughout the prenatal and postnatal periods. The potential for teratogenic effects is highest during
the first 2 months of pregnancy
Ms. Corday delivers a healthy daughter. The client, who is HIV positive, asks when she should begin breast-feeding. What is the appropriate response?
you should not breast feed
