A pregnant patient is treated with trimethoprim/sulfamethoxazole (TMP/SMZ) [Bactrim] for a urinary tract infection at 32 weeks' gestation. A week later, the woman delivers her infant pre-maturely. The nurse will expect to monitor the infant for:
a. birth defects.
b. hypoglycemia.
c. rash.
d. kernicterus.
D
Kernicterus is a disorder in newborns caused by deposition of bilirubin in the brain. Sulfonamides promote kernicterus by displacing bilirubin from plasma proteins. Sulfonamides should not be given to infants under 2 months of age or to pregnant women after 32 weeks' gestation. Sulfonamides do not cause birth defects or hypoglycemia. Serious rashes may occur but are not the primary concern in the newborn.
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1. Complying with contraceptive instructions 2. Taking a prescribed multivitamin preparation 3. Consuming three servings of milk or cheese daily 4. Within the recommended blood pressure parameters
What is the nurse closely assessing for in a patient with hypokalemia?
a. Systemic edema b. Cardiac complications c. Muscle cramping d. Impaired kidney function
Due to rapid neural growth, a child can begin to control the bowel and bladder sphincters by what age?
A) 12 months B) 18 months C) 2 years D) 4 years
A patient suffered severe trunk and lower extremity injury in a motor vehicle accident. Which injuries would indicate to the nurse that this patient may have dysfunction of normal hemostasis?
1. Contusion of the spleen 2. Laceration of the liver 3. Femur fractures 4. Bruising of the heart 5. Pneumothorax