A woman who is breastfeeding is prescribed a low pharmacologic dose of a glucocorticoid and asks the nurse about potential effects on her infant. What will the nurse tell her about this medi-cation?
a. "At this dose, the concentration in your breast milk is safe."
b. "Contact your provider to discuss lower-ing the dose."
c. "There will be reversible side effects for your baby."
d. "This drug is likely to cause growth re-tardation in your baby."
A
Women who are nursing may take physiologic or low pharmacologic doses of glucocorticoids without achieving concentrations in breast milk that affect the nursing infant. It is not necessary to lower the dose. Since there are negligible levels, there are no effects on the infant. Large pharmacologic doses can cause growth retardation and other adverse effects in the infant.
You might also like to view...
A client scheduled for surgery asks, "Is it okay that the surgeon is going to remove my tonsils and adenoids?" What is the nurse's best response?
1. "Sometimes removing tissue is a healthier option than leaving it in place." 2. "Those tissues don't do anything but cause sore throats, so it is good to be rid of them." 3. "We aren't certain why we have them to start with." 4. "This is a common procedure, and you will have to be on prophylactic medications during cold and influenza season for the first year after having these tissues removed."
Compared with admission considerations for an adult woman in labor, the nurse's priority for an adolescent in labor would be to assess:
1. Cultural background. 2. Plans for keeping the infant. 3. Support persons. 4. Developmental level.
The client is taking exogenous cortisol, in the form of prednisone, daily for a temporary pulmonary inflammation. She tells the nurse that she is upset about her moon-shaped face and fat body. What is the nurse's best response?
A. "Don't worry; this is only water retention, not true fat." B. "Increasing your exercise will help change the shape of your face." C. "When you come off the drug, your body fat will change back to normal over time." D. "Obviously, you are not following the dietary restrictions recommended to you."
When comparing the plasma protein binding ability of a pediatric client to an adult, the nurse understands this process occurs in children to:
a. a greater degree. b. a lesser degree. c. the same degree. d. the same degree, but more slowly than in adults.