A 20-year-old client states that the at-home pregnancy test that she took this morning was positive. Which of the following comments by the nurse is appropriate at this time?

Correct Answer: C

Rationale: The appropriate comment by the nurse at this time is option C: "How do you feel about the results?" This response is correct because it focuses on the client's emotions and allows her to express her feelings, which is crucial in providing emotional support during this time of significant news. It also opens up a channel for the client to discuss any concerns or questions she may have about the pregnancy test results. Option A is incorrect because assuming the client and her family are happy may not be accurate and could overlook any negative emotions she may be experiencing. Option B is inappropriate as it assumes the involvement of the baby's father without considering the client's individual circumstances or feelings. Option D, while important for gathering medical information, does not address the client's emotional state or provide immediate support. In an educational context, it is essential for nurses to prioritize emotional support and open communication with clients, especially in sensitive situations like pregnancy confirmation. By acknowledging and addressing the client's feelings, nurses can build trust, establish rapport, and ensure holistic care for the client.

Correct Answer: D

Rationale: In this scenario, the nurse's best response is option D) You can take acetaminophen because it is a category 'B' medicine. Acetaminophen is considered safe for use during pregnancy when taken at the recommended doses. It is classified as a category B medication, meaning that animal reproduction studies have not demonstrated a risk to the fetus, and there are no adequate and well-controlled studies in pregnant women. Acetaminophen is commonly recommended for pregnant women to relieve pain and reduce fever. Option A is incorrect because it provides a general statement without specific guidance. While it is important to consider the risks of medications during pregnancy, not all medications pose a risk, like acetaminophen. Option B is incorrect because not all over-the-counter medications are safe during pregnancy. Some medications can have adverse effects on the developing fetus, so it is essential to consult a healthcare provider before taking any medication during pregnancy. Option C is incorrect because prescribing a category 'X' medication during pregnancy is not recommended. Category X medications have been shown to have harmful effects on the fetus, and their use is contraindicated during pregnancy. In an educational context, it is crucial for healthcare professionals to be knowledgeable about safe medication use during pregnancy to provide accurate information and support to pregnant individuals. Understanding medication categories and their implications for pregnancy is essential in promoting the well-being of both the mother and the developing fetus. Encouraging open communication and providing evidence-based recommendations can help pregnant individuals make informed decisions regarding their healthcare.

Correct Answer: A

Rationale: In this scenario, the correct answer is A) Diarrhea. Evening primrose oil is known to have a side effect of causing diarrhea due to its high content of gamma-linolenic acid. This fatty acid can stimulate the gastrointestinal tract, resulting in loose stools or diarrhea. Option B) Pedal edema is incorrect because evening primrose oil is not typically associated with causing edema or fluid retention in the lower extremities. Option C) Blurred vision is also incorrect as evening primrose oil is not known to have a direct impact on vision or cause blurred vision. Option D) Tinnitus is not a commonly reported side effect of evening primrose oil, so this option is incorrect. From an educational perspective, understanding the side effects of commonly used supplements like evening primrose oil is crucial for healthcare providers, especially those caring for pregnant clients. This knowledge helps in counseling and monitoring patients effectively to ensure their safety and well-being. Encouraging clients to report any adverse effects promptly is essential in managing their care appropriately.

Correct Answer: A

Rationale: In the context of external maternal monitoring in pharmacology, understanding the normal physiological changes that occur during pregnancy is crucial for providing optimal care. In this scenario, the correct answer is A) Leg cramps. Leg cramps are a common complaint in pregnant women, especially in the third trimester, due to factors like increased weight, pressure on blood vessels, and changes in mineral levels. It is considered within normal limits and can be managed with proper hydration, stretching, and adequate rest. Option B) Varicose veins, while common in pregnancy due to increased blood volume and hormonal changes, are not necessarily within normal limits as they can cause discomfort and indicate venous insufficiency. Option C) Hemorrhoids, though common in pregnancy due to increased pressure on pelvic blood vessels, are not considered within normal limits and may require intervention to manage symptoms. Option D) Fainting spells are not within normal limits during pregnancy and can indicate underlying issues such as dehydration, low blood sugar, or poor circulation, requiring further evaluation and management. Educationally, this question highlights the importance of recognizing normal physiological changes versus concerning symptoms during pregnancy. Nurses need to be able to differentiate between common discomforts like leg cramps, which are expected, and more serious issues that may require intervention to ensure the health and well-being of both the mother and the baby.

Correct Answer: B

Rationale: The correct answer is B: "Although oxytocin was responsible for your orgasm it is very unlikely that it will stimulate preterm labor." This answer is correct because oxytocin, the hormone released during orgasm, is not typically enough to induce preterm labor at 26 weeks of gestation. It is important to reassure the patient in this situation to alleviate her fears and anxiety. Option A is incorrect because drinking water and monitoring for back pressure may not be the most appropriate response to this situation. Option C is not the best choice as it may cause unnecessary stress and inconvenience to the patient by rushing her to the hospital without a clear medical indication. Option D is also not ideal as a warm shower and fetal kick count assessment are not directly addressing the patient's concerns about preterm labor after orgasm. In an educational context, it is crucial for healthcare providers to have a good understanding of the physiology of pregnancy and be able to provide accurate information and reassurance to patients. This case highlights the importance of effective communication and patient education in addressing common concerns related to pregnancy and sexual activity.