The nurse is preparing to administer varicella vaccine to a young woman. Which of the following findings has the greatest implication for this young woman's care?

Correct Answer: E

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: A

Rationale: The correct answer is A: Docusate sodium. It is a stool softener that is safe for use during pregnancy and helps to alleviate constipation without causing any harm to the fetus. Docusate sodium works by increasing the amount of water absorbed in the intestine, making the stool softer and easier to pass. Choice B: Magnesium citrate is a laxative that can cause dehydration and electrolyte imbalances, which can be risky during pregnancy. Choice C: Castor oil is a strong laxative that can lead to uterine contractions, potentially causing premature labor or miscarriage during pregnancy. Choice D: Mineral oil can interfere with the absorption of fat-soluble vitamins and should be avoided during pregnancy.

Correct Answer: D

Rationale: The correct answer is D: Contact the health care provider. When a patient receiving magnesium sulfate intravenously shows signs of hypermagnesemia such as 2+ patellar reflexes and negative ankle clonus, it indicates a potential magnesium toxicity. Contacting the healthcare provider is crucial as they can assess the situation, recommend appropriate interventions, adjust the magnesium sulfate dosage, or provide further instructions. Obtaining a stat magnesium sulfate level (choice B) may confirm the high magnesium levels but does not provide immediate guidance on managing the patient. Discontinuing magnesium sulfate (choice C) without consulting the healthcare provider can lead to abrupt changes in the patient's condition. Choice A does not address the issue of potential magnesium toxicity and is not the most appropriate action in this scenario.

Correct Answer: A

Rationale: Correct Answer: A) Stop smoking immediately. Rationale: Smoking can have harmful effects on both the mother and the developing fetus during pregnancy. Smoking cessation before conception can reduce the risk of complications such as preterm birth, low birth weight, and birth defects. Summary of Other Choices: B) Taking omega-6 fatty acids: While omega-6 fatty acids are important for overall health, there is no specific indication or benefit related to pregnancy planning in this context. C) Taking a multivitamin: While taking a multivitamin is generally recommended for overall health, there is no specific indication or benefit related to pregnancy planning in this context.

Correct Answer: A

Rationale: The correct answer is A: Counterpressure against the sacrum. This helps relieve back labor pain by applying pressure to the sacrum area, providing counter stimulation to lessen the intensity of pain. This intervention targets the specific area of discomfort and can be effective in providing relief during labor. Pant-blow breathing techniques (B) and conscious relaxation/guided imagery (D) are general pain management strategies that may not directly address the back labor pain. Encouragement (C) is supportive but may not effectively alleviate the intense pain experienced during back labor.