Which of the following patients would be eligible to receive the influenza vaccine?

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.

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.

Correct Answer: B

Rationale: The correct answer is B: Checking fetal heart rate. This is the priority nursing intervention after an amniotomy because it helps in assessing the well-being of the fetus and detecting any signs of distress. Monitoring uterine contractions (choice A) is important but secondary to ensuring fetal well-being. Assessing cervical dilation and effacement (choice C) is also important but not as immediate as ensuring fetal heart rate. Checking for umbilical cord compression (choice D) is crucial but typically presents with specific signs and symptoms, which can be assessed after ensuring fetal heart rate.