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A nurse is caring for a client who is pregnant and has a vaginal culture that is positive for chlamydia.Which of the following medications should the nurse plan to administer?

A.

Tetracycline.

B.

Acyclovir.

C.

Metronidazole.

D.

Amoxicillin.

Answer and Explanation

The Correct Answer is D

Choice A rationale

 

Tetracycline is contraindicated in pregnancy due to its potential to cause fetal harm, including teeth discoloration and inhibition of bone growth.

 

Choice B rationale

 

Acyclovir is an antiviral medication used to treat herpes infections, not chlamydia.

 

Choice C rationale

 

Metronidazole is used to treat bacterial vaginosis and trichomoniasis, not chlamydia.

 

Choice D rationale

 

Amoxicillin is a safe and effective antibiotic for treating chlamydia in pregnant women. It is preferred due to its safety profile and effectiveness.


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View Related questions

Correct Answer is C

Explanation

Choice A rationale

Nursing the baby for 5 to 10 minutes on each breast may not be sufficient for the baby to receive the hindmilk, which is rich in fat and essential for growth.

Choice B rationale

Applying vitamin E oil to the nipples after each feeding is not recommended as it can cause irritation and is not necessary for nipple care.

Choice C rationale

Laying the baby on a pillow at the level of the breast helps ensure proper positioning and latch, which is crucial for effective breastfeeding and preventing nipple soreness.

Choice D rationale

Ensuring that just the nipple is in the baby’s mouth is incorrect. The baby should latch onto the areola, not just the nipple, to ensure effective milk transfer and prevent nipple pain.

Correct Answer is D

Explanation

Choice A rationale

A BP of 132/84 mm Hg is within the normal range for a pregnant woman and does not require immediate reporting.

Choice B rationale

A weight gain of 1 kg (2.2 lb) in one month is within the expected range for a pregnant woman at 26 weeks gestation.

Choice C rationale

Pedal edema is a common symptom in pregnancy and is usually not a cause for concern unless accompanied by other symptoms.

Choice D rationale

Double vision is a concerning symptom that could indicate a serious condition such as preeclampsia. It should be reported to the provider immediately.

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