ATI RN
Possible Complications in Early Pregnancy Questions
Question 1 of 5
A pregnant woman is experiencing nausea and vomiting in her first trimester of pregnancy. Which herbal agent has traditionally been used as an antiemetic?
Correct Answer: A
Rationale: In early pregnancy, many women experience nausea and vomiting, commonly known as morning sickness. Ginger has been traditionally used as an antiemetic due to its ability to alleviate these symptoms. Ginger contains compounds that can help calm the stomach and reduce nausea, making it a safe and effective option for pregnant women. Garlic, Ginkgo biloba, and Green tea are not commonly used as antiemetics in pregnancy and may even have adverse effects. Garlic is more commonly known for its culinary uses and potential blood-thinning properties. Ginkgo biloba is an herb primarily used for cognitive function and is not recommended during pregnancy due to its potential effects on circulation. Green tea contains caffeine, which should be limited during pregnancy. In an educational context, it is important for healthcare providers and pregnant women to be aware of safe and effective options for managing common pregnancy symptoms. Understanding the properties of different herbal agents can help in making informed decisions regarding their use during pregnancy, ensuring the health and well-being of both the mother and the developing fetus.
Question 2 of 5
A woman in labor is being treated with magnesium sulfate intravenously and is beginning to show signs and symptoms of hypermagnesemia. The infusion has been discontinued, and the nurse should anticipate administration of what drug?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) Calcium gluconate. When a patient shows signs of hypermagnesemia due to magnesium sulfate infusion, calcium gluconate is administered as the antidote. Calcium competes with magnesium for binding sites and can help counteract the effects of excess magnesium in the body. Metoprolol (A) is a beta-blocker used for conditions like hypertension and cardiac issues, not for treating hypermagnesemia. Potassium chloride (C) is used to treat or prevent low potassium levels, not magnesium toxicity. Furosemide (D) is a diuretic used to remove excess fluid and salt from the body, not indicated for hypermagnesemia. Educationally, understanding the antidotes for medication complications is crucial for nurses and healthcare providers to ensure patient safety. It is vital to know the appropriate interventions to manage adverse drug reactions promptly and effectively. This knowledge can prevent further complications and improve patient outcomes in clinical settings.
Question 3 of 5
A woman in preterm labor has been administered terbutaline sulfate (Brethine). For what potential adverse effects should the nurse assess the patient?
Correct Answer: D
Rationale: Terbutaline sulfate (Brethine) is a beta-adrenergic agent that inhibits uterine contractions by reducing intracellular calcium levels. Adverse effects may include hyperkalemia, hyperglycemia, cardiac dysrhythmias, hypotension, and pulmonary edema. Women commonly experience hand tremors, palpitations, and shortness of breath with chest tightness.
Question 4 of 5
A pregnant woman states that she has been constipated since becoming pregnant. Which medication is most appropriate for preventing constipation related to pregnancy?
Correct Answer: A
Rationale: A bulk-producing agent, such as Metamucil, is most physiologic for the mother and safe for the fetus. Mineral oil is not recommended because of the lack of absorption of fat-soluble vitamins. Saline cathartics are not recommended because of hypernatremia. Stimulant cathartics are not recommended for the pregnant woman.
Question 5 of 5
A woman who takes highly active antiretroviral therapy (HAART) for HIV/AIDS has become pregnant. What effect will the woman's pregnancy have on her drug regimen?
Correct Answer: C
Rationale: The correct answer is C) She can continue her HAART unchanged. Educational Rationale: In early pregnancy, it is crucial for pregnant women living with HIV/AIDS to maintain their highly active antiretroviral therapy (HAART) to prevent transmission to the fetus. Discontinuing HAART (option A) can lead to increased viral loads and higher risk of transmission. Increasing dosages (option B) without medical supervision can result in adverse effects. However, simply continuing the HAART regimen unchanged (option C) ensures viral suppression and reduces the risk of vertical transmission. Discontinuing or changing components of HAART (option D) can compromise treatment efficacy. It is important for healthcare providers and patients to understand the significance of uninterrupted HAART during pregnancy to protect both the mother and the unborn child from potential complications associated with HIV/AIDS.