Which of the following pharmacokinetic changes could decrease the effect on a medication? 

A 21 year old woman presents for preconceptual care. She receives a rubella vacination for non-immune status. She asks “Can I start trying to get pregnant next week?” Which of the following choices is your best response?

A 22 year old client presents for obstetrical care. She inquires about the safety of a medication she is currently taking, which is listed as a Category C. You explain the drug classification system to the client and state that category C drugs:

Which of the following best describes breast engorgement?

Teratogenicity is dependent on:

A 13-week pregnant client is concerned because her 5 year-old daughter has been diagnosed with Parvovirus 19 (Fifth’s Disease). Appropriate management includes which of the following?

What is the most commonly reportable sexually transmitted infection?

A woman presents for her initial prenatal care visit. Her obstetrical history includes: one first trimester miscarriage; one male infant born at 39 weeks gestation who is alive and well; Di/Di twins born at 28 weeks gestation. One twin died but the other is alive and well. The gravida/para TPAL four-digit nomenclature of this history is:

Dietary supplementation with ______can prevent occurrence of neural tube birth defects, such as spina bifida, during pregnancy.

A woman is discharged 48 hours after an uncomplicated delivery of a normal infant. She has a lateral episiotomy and was voiding easily on discharge. The next day she calls regarding increased pain in her perineal area. She has taken ibuprofen as directed and her perineal area is tender and swollen and she is having increased difficulty voiding. What instructions would you give this client?