The nurse working in labor and delivery is reviewing messages to be returned to clients. Which statement made by the client alerts the nurse to call that client first?

Correct Answer: B

Rationale: The correct answer is B because taking ibuprofen during pregnancy, especially in the third trimester like at 38 weeks, can pose risks to the baby. Ibuprofen is not recommended in late pregnancy as it can lead to complications such as premature closure of a crucial blood vessel in the baby's heart. Therefore, the nurse should call this client first to educate them on the risks and advise against taking aspirin along with ibuprofen. A: Taking calcium carbonate for heartburn during pregnancy is generally safe, so there is no urgent need to call this client first. C: Stopping folic acid at 8 weeks may not be ideal, but it is less urgent than the potential risks associated with ibuprofen in late pregnancy. D: Blood glucose of 120 mg may be normal, and the client's non-diabetic status indicates less urgency compared to the potential harm from mixing ibuprofen and aspirin during late pregnancy.

Correct Answer: A

Rationale: Step-by-step rationale: 1. Itching post-spinal morphine is due to histamine release. 2. Diphenhydramine is an antihistamine that can relieve itching. 3. Ephedrine is a vasoconstrictor, not for itching. 4. Butorphanol is an opioid analgesic, not for itching relief. 5. Lidocaine is a local anesthetic, not for itching. Therefore, Diphenhydramine (Choice A) is the correct choice.

Correct Answer: C

Rationale: The correct answer is C because assessing patient reliability in taking an oral pill daily is crucial for the effectiveness of the progestin-only pill. This method requires strict adherence to a daily regimen. Asking about past childbirth (A) is not directly relevant to assessing candidacy. Assessing regular periods (B) may be important but not as critical as daily pill-taking reliability. Inquiring about past smoking habits (D) is important for overall health but not specific to progestin-only pill candidacy.

Correct Answer: B

Rationale: The correct answer is B: The patient should be using some form of contraception to avoid pregnancy. This is the most important nursing advice because even though the patient is experiencing irregular periods and may be in perimenopause, there is still a risk of pregnancy until menopause is confirmed. Providing advice on contraception is crucial to prevent an unplanned pregnancy at this stage. Choice A is incorrect because hormone therapy is not just used for hot flashes and vaginal dryness; it can also help manage other perimenopausal symptoms. Choice C is incorrect as a dual-energy X-ray absorptiometry scan is not the most immediate concern for this patient. It may be relevant to assess bone density in the future, but contraception should be addressed first. Choice D is incorrect because herbal supplementation may not be the safest or most effective way to manage perimenopausal symptoms, and it does not address the risk of pregnancy.

Correct Answer: B

Rationale: The correct answer is B: LH. LH, or luteinizing hormone, is primarily responsible for triggering ovulation by stimulating the release of the mature egg from the ovary. FSH (A) helps in the development of the egg, but LH is the hormone that actually induces ovulation. Progesterone (C) and Estrogen (D) are important in the menstrual cycle and pregnancy, but they do not directly trigger ovulation.