The nurse is caring for a pregnant patient who is 32 weeks gestation and is concerned about the safety of taking prescription medications. Which response by the nurse is most appropriate?

Correct Answer: B

Rationale: The correct answer, B, is appropriate because it emphasizes the importance of consulting with a healthcare provider to ensure the safety of prescription medications during pregnancy. This step is crucial as healthcare providers can assess the risks versus benefits of medication use in pregnancy and provide personalized recommendations. Choice A is incorrect as some medications may be necessary for the health of the mother and baby. Choice C is incorrect as not all prescription medications are safe during pregnancy. Choice D is incorrect as the safety of prescription medications in pregnancy is not solely determined by whether they are over-the-counter or not. Consulting with a healthcare provider is the best course of action to ensure the well-being of both the mother and the baby.

Correct Answer: B

Rationale: The correct answer is B: Monitoring blood glucose levels and maintaining a balanced diet. This is crucial for managing gestational diabetes, as it helps control blood sugar levels to prevent complications for both the mother and baby. Regular monitoring ensures timely adjustments to treatment. A balanced diet helps regulate blood sugar levels and provides essential nutrients for the baby's growth. Choice A is important but not as critical as monitoring blood glucose levels, as weight gain should be monitored but is not the primary focus in gestational diabetes. Choice C is not directly related to managing gestational diabetes. Choice D may be necessary in some cases, but it is not the most important aspect of care compared to monitoring blood glucose levels and diet.

Correct Answer: C

Rationale: The correct answer is C: Call the healthcare provider immediately to report the symptoms. This is the first step because sudden, severe abdominal pain and vaginal bleeding in a pregnant patient at 38 weeks gestation could indicate a serious complication such as placental abruption or preterm labor. Notifying the healthcare provider promptly allows for timely intervention and appropriate management. Choice A is incorrect as assessing the fetal heart rate and preparing for delivery should not be the first action without consulting the healthcare provider. Choice B is incorrect as encouraging the patient to rest is not appropriate in this emergent situation. Choice D is incorrect as providing pain relief and monitoring vital signs should not take precedence over notifying the healthcare provider for further evaluation and management.

Correct Answer: B

Rationale: The correct answer is B because monitoring the patient's blood pressure and assessing for signs of worsening preeclampsia is crucial in managing the condition and preventing potential complications. At 36 weeks gestation, close monitoring is essential to detect any changes in the patient's condition promptly. Increasing fluid intake (choice A) may not be recommended for patients with preeclampsia due to the risk of fluid overload. Providing education about managing gestational diabetes (choice C) is irrelevant in this scenario. Administering pain relief (choice D) may provide temporary relief but does not address the underlying issue of worsening preeclampsia. Prioritizing blood pressure monitoring ensures timely intervention and management of preeclampsia to promote the well-being of both the patient and the baby.

Correct Answer: A

Rationale: The correct answer is A: Increase fluid intake and avoid standing for long periods. This recommendation is appropriate for the patient's symptoms of lightheadedness and fainting, which could be due to dehydration or low blood pressure common in pregnancy. Increasing fluid intake can help maintain adequate blood volume and pressure. Avoiding prolonged standing can prevent pooling of blood in the lower extremities, reducing the risk of dizziness. Choices B, C, and D are incorrect: B: Taking deep breaths and rising quickly may worsen symptoms by causing a sudden drop in blood pressure. C: Complete rest and avoiding physical activity may not address the underlying issue of hydration or blood pressure. D: Sitting upright and avoiding bending forward may not directly address the need for increased fluid intake and reduced standing time.