A 29-year-old woman who was in her 41st week of gestation had been in labor for 12 hours. Although her uterine contractions had been strong and regular initially, they had diminished in force during the past hour. The drug would be administered to facilitate this woman’s labour and delivery is:

Correct Answer: C

Rationale: Rationale: Oxytocin is the correct drug to facilitate labor as it is a hormone that stimulates uterine contractions. It helps to progress labor and delivery. Dopamine (A) is not used for labor induction. Leuprolide (B) is a gonadotropin-releasing hormone agonist, not used for labor. Prolactin (D) is not involved in uterine contractions.

Correct Answer: B

Rationale: The correct answer is B: Respiratory depression. Morphine is an opioid that can cause respiratory depression as a side effect by suppressing the respiratory drive in the brainstem. This can lead to decreased breathing rate and depth, potentially causing hypoxia and respiratory failure. It is crucial for the nurse to closely monitor the patient's respiratory status after morphine administration to prevent any complications. Incorrect choices: A: Nausea - Nausea is a common side effect of opioids like morphine, but it is not as critical or life-threatening as respiratory depression. C: Constipation - Constipation is another common side effect of opioids due to decreased gastrointestinal motility, but it is not an immediate concern compared to respiratory depression. D: Restlessness - Restlessness is not a common side effect of morphine and is not as serious as respiratory depression in terms of patient safety.

Correct Answer: A

Rationale: The correct answer is A because assessing the child's developmental age is crucial to tailor the teaching approach to match the child's understanding and communication abilities. By understanding the child's developmental stage, the nurse can better customize the teaching materials and methods to ensure the child comprehends the information effectively. This approach promotes patient safety by reducing the risk of medication errors or misunderstandings. Choice C is incorrect as children may experience different side effects compared to adults due to their unique physiology. Choice D is also incorrect because merely considering the actions and uses of the drug is not sufficient to ensure patient safety without taking into account the child's developmental stage.

Correct Answer: E

Rationale: In this scenario, the correct answer is likely missing from the options provided. However, we can still analyze the options given to provide educational insights. Option A, the patient's fear of needles, while important for administering the vaccine comfortably, is not the most critical consideration when preparing to administer a varicella vaccine. Option B, the patient's allergy to eggs, is crucial for the nurse to know since some vaccines, like the varicella vaccine, are cultured in chick embryo cells and may contain trace amounts of egg proteins, potentially triggering an allergic reaction in susceptible individuals. Option C, the patient's history of leukemia, is significant as immunocompromised individuals may have altered immune responses to vaccines, necessitating special considerations when administering vaccines. In an educational context, this question highlights the importance of thorough patient assessment before vaccine administration to ensure safety and efficacy. Understanding a patient's medical history, allergies, and specific vaccine contraindications are vital for appropriate nursing care.

Correct Answer: B

Rationale: Step-by-step rationale: 1. Pregnant individuals are recommended to receive the influenza vaccine to protect both themselves and the unborn baby. 2. Pregnancy increases the risk of severe complications from influenza. 3. The vaccine is safe for pregnant women and can be given at any stage of pregnancy. 4. Influenza vaccination during pregnancy also provides passive immunity to the newborn. Summary of other choices: A: The patient who is taking care of her son with HIV - While this patient may benefit from the vaccine, it is not a direct indication for eligibility. C: The patient with an egg allergy - Most influenza vaccines are grown in eggs, making this patient ineligible for those vaccines. D: The child who is 18 months old - Children under 6 months old are too young for the influenza vaccine, and 18 months is not within the recommended age range.