EAQ maternity

Which drug is derived from a natural source and may be prescribed for the treatment of osteoporosis?

Calcitonin Derived from natural sources such as fish

Ergot alkaloids

Control uterine bleeding after delivery; prevent postpartum uterine atony and hemorrhage, do not cause milk ejection during lactation Methylergonovine

Which is the priority nursing intervention in order to achieve the cooperation of an extremely anxious pregnant client during her first pelvic exam?

Explaining the procedure and maintaining eye contact while touching the client gently.

A client who suspects that she is 6 weeks pregnant appears mildly anxious as she is waiting for her first obstetric appointment. What symptom of mild anxiety does the nurse expect this client to experience?

Increased alertness.

Clomiphene

Indicated for female infertility in some clients - prescribed to induce ovulation. May cause multiple pregnancies.

Dinoprostone

Induces labor but has no effect on milk ejection or uterine bleeding - causes ripening of the cervix during labor

A 16-year-old client has a steady boyfriend with whom she is having sexual relations. She asks the nurse how she can protect herself from contracting human immunodeficiency virus (HIV). Which guidance is most appropriate for the nurse to provide?

Insist that her partner use a condom when having sex.

Retinopathy of prematurity (formerly retrolental fibroplasia)

Occurs as a result of prolonged exposure to a too-high oxygen concentration

A nurse instills an antibiotic ophthalmic ointment into a newborn's eyes. What condition does this medication prevent?

Ophthalmia neonatorum Caused by gonorrheal and/or chlamydial infections present in the vaginal tract

Which adverse effect of heparin may be seen during pregnancy?

Osteoporosis

Which hypothalamic hormone helps to treat postpartum uterine atony and hemorrhage?

Oxytocin -- is a hypothalamic secretory hormone

Which oxytocic drug may help to control uterine bleeding post-delivery and promote milk ejection?

Oxytocin used to induce labor, control uterine bleeding after delivery, and promote milk ejection during lactation

A client who has had recurrent infections before and during pregnancy should be instructed to eat a nutrient-rich diet as a means of supporting the body's natural defense mechanisms. What should the nurse encourage the client to include in her diet?

Vitamins C and E Vitamin C plays an important role in tissue formation Vitamin E is required to protect against the oxidative stress associated with pregnancy

A female client who has been sexually active for 5 years is diagnosed with gonorrhea. The client is upset and asks the nurse, "What can I do to keep from getting another infection in the future?" Which statement by the client indicates that the teaching by the nurse was effective?

"My partner has to use a condom all the time."

A 16-year-old high school student is referred to a community health center by a local hotline because of the fear of having contracted herpes. The teenager is upset and shares this information with the community health center nurse. What should the nurse's initial response be?

"You sound worried. Let me make arrangements to have you examined."

An Rh-negative mother who gave birth at 10:30 AM on January 7 should receive her Rh immune globulin injection no later than when?

10:30 AM on January 10 Rh immune globulin needs to be administered within 72 hours of delivery.

Recommended weight gain during pregnancy

25-35 lbs

Prolonged 3rd stage of labor

30 minutes or more may lead to postpartum hemorrhage

A client who is to undergo dilation and curettage and conization of the cervix for cancer appears tense and anxious. What is the best approach for the nurse to support the client emotionally?

Asking whether something is troubling the client and whether she'd like to talk about it.

During the discharge conference with a client who has had a hysterectomy the nurse includes instructions for avoiding the thromboembolic phenomena that may occur as a complication. What should these instructions include?

Avoid sitting for prolonged periods of time.

A client's temperature is 100.4° F 12 hours after a spontaneous vaginal birth. What does the nurse suspect is the cause of the increased temperature?

Dehydration

Which medication is indicated for evacuation in case of a miscarriage?

Dinoprostone A prostaglandin E2 abortifacient and cervical ripening drug, is indicated for uterine evacuation in cases of miscarriage

A lactating mother is administered oxytocin. What could be the function of oxytocin in the client?

Ejection of milk.

Bilateral oophorectomy

Excision or removal of both ovaries.

When discussing future health management with a client who has had a total hysterectomy, the nurse advises regular physical examinations. The client agrees and adds, "It won't be so hard to go now that I won't need the pelvic examination and Pap smear." How should the nurse respond?

Explain why regular pelvic examinations and Pap smears of vaginal secretions will still be necessary in the future -- to screen for atypical changes in vaginal tissue and is a priority with this client.

Mifepristone

Generally used to induce abortion

The nurse is caring for an assignment of postpartum clients. Which factor puts a client at increased risk for postpartum hemorrhage?

Giving birth to a baby weighing 9lb 8 oz (4309 g) The chance of postpartum hemorrhage is five times greater with large infants because uterine contractions may be impaired after the birth.

Indomethacin

Helps to maintain pregnancy in preterm labor

A woman who is pregnant for the first time is concerned about regaining her figure after the baby is born and wishes to diet during the pregnancy. How should the nurse advise her?

Inadequate food intake can result in a low-birth-weight infant.

After treatment for a bladder infection, a client asks whether there is anything she can do to prevent cystitis in the future. What is the best response by the nurse?

Increase your daily fluid consumption.

A client who has syphilis tells the nurse that it must have been contracted from a toilet seat. The nurse knows that this cannot be true because of what property of the causative agent of syphilis?

It is inactivated when exposed to a dry environment.

Estrogen therapy + oral contraceptives

May cause abnormal vaginal bleeding in some clients; is not dependent on a client's smoking habit

A nurse is counseling a couple in the fertility clinic regarding steps they must take in order to increase their chances of conceiving. Which alteration to their present circumstances will put added stress on the couple?

Planning when to have intercourse

A pregnant client asks the nurse for information regarding toxoplasmosis exposure during pregnancy. What information should the nurse teach this client?

Pork and beef should be cooked thoroughly -- helps prevent ingestion of the cyst stage of the toxoplasma protozoa

Raloxifene

Prescribed to prevent postmenopausal osteoporosis.

Biphosphonates

Prescribed to treat osteoporosis but is not derived from natural sources

The nurse is taking the health history of a client who has been admitted for repair of a cystocele and rectocele. Which signs or symptoms would the nurse expect the client to report?

Stress incontinence and low abdominal pressure.

A nurse is planning care with a client for the recovery period after a laparoscopic hysterectomy and bilateral salpingo-oophorectomy. What should be included in the information regarding the changes that the client should expect after surgery?

Surgical menopause - ovarian hormones are eliminated

A drug is administered to a client in her third trimester of pregnancy. Which statement regarding the drug administration is correct?

The dose of a drug should be increased for pregnant clients. Drug metabolism and glomerular filtration rate are increased; drug excretion rate is faster

Which risk is associated with estrogen therapy in a client who smokes?

Thromboembolic disorders

A client with osteoporosis has been receiving dietary information from the nurse. Which food selection by the client indicates that the nurse's dietary instruction was effective?

Turnip greens -- are high in calcium and vitamins.

Methylergonovine

Used to treat postpartum uterine atony and hemorrhage Is an ergot alkaloid

Hemorrhagic conjunctivitis

Usually caused by rapid expulsion of the fetus's head from the vagina

Magnesium sulfate

used to treat pregnancy-induced hypertension

Which drug can be prescribed to a 30-week-pregnant woman to promote maturity of the lungs in the fetus?

Betamethasone prescribed between 24 to 34 weeks