All possible medications for maternity 3 exam

A woman with preterm labor is receiving magnesium sulfate. Which finding would require the nurse to intervene immediately? A) Respiratory rate of 16 breaths per minute B) Diminished deep tendon reflexes C) Urine output of 45 mL/hour D) Alert level of consciousness

B) Diminished deep tendon reflexes

Which of the following would the nurse have readily available for a client who is receiving magnesium sulfate to treat severe preeclampsia? A) Calcium gluconate B) Potassium chloride C) Ferrous sulfate D) Calcium carbonate

A) Calcium gluconate

A pregnant woman is receiving misoprostol (cytotec) to ripen her cervix and induce labor. The nurse assesses the woman closely for which of the following? A) Uterine hyperstimulation B) Headache C) Blurred vision D) Hypotension

A) Uterine hyperstimulation

After teaching a group of nursing students about tocolytic therapy, the instructor determines that the teaching was successful when they identify which drug as being used for tocolysis? (Select all that apply.) A) Nifedipine B) Terbutaline C) Dinoprostone D) Misoprostol E) Indomethacin

ABE

Which of the following would the nurse use to monitor the effectiveness of intravenous anticoagulant therapy for a postpartum woman with deep vein thrombosis? a) Platelet level b) Fibrinogen level c) Prothrombin time d) Activated partial thromboplastin time

Activated partial thromboplastin time

When diagnosed with a deep vein thrombosis, the nurse knows the patient will be treated with which medication? a) Non-steroidal inflammatory b) Anticoagulants c) Narcotic analgesics d) Beta blockers

Anticoagulants

A nurse is assigned to care for a client with deep vein thrombosis who has to undergo anticoagulation therapy. Which of the following instructions should the nurse offer the client as a caution when the client receives anticoagulation therapy? a) Refrain from performing any leg exercises b) Avoid prolonged straining during defecation c) Avoid products containing aspirin d) Sit with legs crossed over each other

Avoid products containing aspirin

A client is diagnosed with gestational hypertension and is receiving magnesium sulfate. Which finding would the nurse interpret as indicating a therapeutic level of medication? A) Urinary output of 20 mL per hour B) Respiratory rate of 10 breaths/minute C) Deep tendons reflexes 2+ D) Difficulty in arousing

C) Deep tendons reflexes 2+ 2 is good. 0 there isnt a reflex. 4 has too much reflex

A woman in labor is experiencing hypotonic uterine dysfunction. Assessment reveals no fetopelvic disproportion. Which group of medications would the nurse expect to administer? A) Sedatives B) Tocolytics C) Oxytocins D) Corticosteroids

C) Oxytocins

A nurse is counseling a pregnant woman with rheumatoid arthritis about medications that can be used during pregnancy. Which drug would the nurse emphasize as being contraindicated at this time? A) Hydroxychloroquine B) Nonsteroidal anti-inflammatory drug C) Glucocorticoid D) Methotrexate

D) Methotrexate

A pregnant woman with chronic hypertension presents challenges in controlling the hypertension and preventing additional complications. Which hypertensive medication is prescribed due to its safety record during pregnancy? a Methyldopa b atenolol c Nifedipine d labetolol

Methyldopa Although labetalol, atenolol, and nifedipine may be ordered, methyldopa the most commonly prescribed agent because of its safety record during pregnancy. It is a slow-acting antihypertensive agent that also helps to improve uterine perfusion.

Samantha delivered her fourth child after protracted and difficult labor during which oxytocin was used to augment her contractions. The next day, her vaginal bleeding continues to be moderately heavy with numerous large clots. Palpating her fundus, you find that it is in the midline but boggy and above the level of the umbilicus. Fundal massage is indicated; what should you do first? a) Seek an order to obtain and administer an oxytocic. b) Ensure that her bladder is empty. c) Place one hand over the symphysis pubis. d) Insert uterine packing to control the hemorrhage.

Place one hand over the symphysis pubis.

The following hourly assessments are obtained by the nurse on a patient with preeclampsia receiving Magnesium Sulfate: 97.3, P88, R10, blood pressure 148/110. What other priority physical assessment by the nurse should be implemented to assess for potential toxicity? a) Reflexes b) Lung sounds c) Magnesium sulfate level d) Oxygen saturation

Reflexes

A client at 37 weeks' gestation presents to the emergency department with a BP 150/108 mm Hg, 1+ pedal edema, 1+ proteinuria, and normal deep tendon reflexes. Which assessment should the nurse prioritize as the client is administered magnesium sulfate IV?

Respiratory rate

what medication should a female scar from c-section not recieve?

cytotech

A client with full-term pregnancy who is not in active labor has been ordered oxytocin intravenously. Which of the following is a contraindication for oxytocin administration? a) Dysfunctional labor pattern b) Postterm status c) Prolonged ruptured membranes d) Overdistended uterus

d) Overdistended uterus

When administering magnesium sulfate to a woman with severe preeclampsia, which finding would alert the nurse to the development of magnesium toxicity? a) Serum magnesium level of 6.5 mEq/L b) Elevated liver enzymes c) Diminished reflexes d) Seizures

diminished reflexes

A woman with an incomplete abortion is to receive misoprostol. The woman asks the nurse, "Why am I getting this drug?" The nurse responds to the client, integrating understanding that this drug achieves which effect?

ensures passage of all the products of conception

After an examination, a client has been determined to have an unruptured ectopic pregnancy. Which medication would the nurse anticipate being prescribed?

methotrexate

Which medication would the nurse prepare to administer if prescribed as treatment for an unruptured ectopic pregnancy?

methotrexate

Which of the following would the nurse prepare to administer if ordered as treatment for an unruptured ectopic pregnancy? a) Promethazine b) Methotrexate c) Oxytocin d) Ondansetron

methotrexate

The nurse has attempted to massage a boggy uterus to firm state without success. The next intervention the nurse should anticipate is the administration of what medication? a) Ibuprofen b) Oxytocin c) Digoxin d) Penicillin

oxytocin

The nurse is monitoring a pregnant patient who is receiving intravenous magnesium sulfate for eclampsia. During the last assessment, the nurse was unable to elicit a patellar reflex. What should the nurse do?

stop the current infusion

A nurse is assessing a client with postpartal hemorrhage; the client is presently on IV oxytocin. Which of the following interventions should the nurse perform to evaluate the efficacy of the drug treatment? Select all that apply. a) Monitor client's vital signs b) Get a pad count c) Assess client's skin turgor d) Assess client's uterine tone e) Assess deep tendon reflexes

• Monitor client's vital signs • Get a pad count • Assess client's uterine tone

The nurse identifies a nursing diagnosis of risk for injury related to possible effects of oxytocin therapy. Which of the following would the nurse do to ensure a positive outcome for the client? a) Assess contractions by using external monitor b) Start administering tocolytic therapy c) Turn down oxytocin administration by half d) Administer hydration and sedation frequently

Assess contractions by using external monitor

A woman is receiving magnesium sulfate as part of her treatment for severe preeclampsia. The nurse is monitoring the womans serum magnesium levels. Which level would the nurse identify as therapeutic? A) 3.3 mEq/L B) 6.1 mEq/L C) 8.4 mEq/L D) 10.8 mEq/L

B) 6.1 mEq/L 4-7

A postpartum woman is ordered to receive oxytocin to stimulate the uterus to contract. Which of the following would be most important for the nurse to do? A) Administer the drug as an IV bolus injection. B) Give as a vaginal or rectal suppository. C) Piggyback the IV infusion into a primary line. D) Withhold the drug if the woman is hypertensive.

C) Piggyback the IV infusion into a primary line.

A pregnant client undergoing labor induction is receiving an oxytocin infusion. Which of the following findings would require immediate intervention? A) Fetal heart rate of 150 beats/minute B) Contractions every 2 minutes, lasting 45 seconds C) Uterine resting tone of 14 mm Hg D) Urine output of 20 mL/hour

D) Urine output of 20 mL/hour

A pregnant client has a history of asthma. Which of the following agents would not be appropriate to help her control her asthma during her pregnancy? a)salmeterol b)Budesonide c)Misoprostol d)Albuterol

Misoprostol Three specific drugs recommended for use for controlling asthma during pregnancy are budesonide, albuterol, and salmeterol. Misoprostol is a prostaglandin that is used for treating postpartum hemorrhage but is contraindicated with asthma clients due to the risk of bronchial spasm and bronchoconstriction.

The nurse is monitoring a patient in labor who has had a previous cesarean section and is trying a vaginal birth with epidural. The nurse observes a sudden drop in blood pressure, increased heart rate, and deep variable deceleration on the fetal monitor. The patient reports severe pain in her abdomen and shoulder. What should the nurse prepare to do? a) Prepare the patient for a cesarean section. b) Turn the patient on her left side. c) Bolus the patient with another dose of medication through the epidural. d) Place the patient in a knee-chest position.

Prepare the patient for a cesarean section.

A multigravida presents at 31 weeks' gestation with signs and symptoms of preterm labor. The diagnosis is confirmed and she is admitted and given magnesium sulfate. What must you report as part of her care? a) Respiratory depression, hypotension, absent tendon reflexes b) Pain in the abdomen, shoulder, or back c) Severe lower back pain, leg cramps, sweating d) Low potassium or elevated glucose, tachycardia, chest pain

Respiratory depression, hypotension, absent tendon reflexes

In returning to the hospital floor after a weekend off, the nurse takes over care of a pregnant patient who is resting in a darkened room. The patient is receiving betamethasone and magnesium sulfate. What could the nurse deduce from those findings? a) The patient is suffering from severe preeclampsia and the care team is attempting to prevent advancement of the disorder to eclampsia; they are attempting to help the baby's lungs mature quickly so that they can deliver as soon as possible. b) The patient is suffering from hypertension and the care team is trying to lower her blood pressure so that she may return home until the baby is full term. c) The patient is suffering from eclampsia and the care team is attempting to prevent stroke and induce labor. d) The patient is suffering from mild preeclampsia and the care team is attempting to stabilize her and the baby before discharging her to home.

The patient is suffering from severe preeclampsia and the care team is attempting to prevent advancement of the disorder to eclampsia; they are attempting to help the baby's lungs mature quickly so that they can deliver as soon as possible.

A woman diagnosed with preeclampsia is to receive magnesium sulfate. The rationale for this drug is to: a. Reduce CNS irritability to prevent seizures b. Provide supplementation of an important mineral she needs c. Prevent constipation during and after the birthing process d. Decrease musculoskeletal tone to augment labor

a. Reduce CNS irritability to prevent seizures

A woman is going to have labor induced with oxytocin. Which statement below reflects the induction technique you anticipate her primary-care provider will order? a) Administer Pitocin in two divided intramuscular sites. b) Administer oxytocin diluted as a "piggyback" infusion. c) Administer Pitocin in a 20 cc bolus of saline. d) Administer oxytocin diluted in the main intravenous fluid.

b) Administer oxytocin diluted as a "piggyback" infusion.

A patient is admitted to labor and delivery for management of severe preeclampsia. An IV infusion of magnesium sulfate is started. What is the primary goal for magnesium sulfate therapy? a) Reverse edema b) Prevent maternal seizures c) Decrease blood pressure d) Decrease protein in urine

b) Prevent maternal seizures

A pregnant woman with preeclampsia is to receive magnesium sulfate IV. Which of the following assessments would be most important prior to administering a new dose? a) Pulse rate b) Blood pressure c) Patellar reflex d) Anxiety level

c) Patellar reflex

A woman develops HELLP syndrome. During labor, which of the following orders would you question? a) Assess her blood pressure every 15 minutes. b) Urge her to lie on her left side during labor. c) Prepare her for epidural anesthesia. d) Assess the urine output every hour.

c) Prepare her for epidural anesthesia.

A patient with preeclampsia is receiving magnesium sulfate. Which of the following nursing assessments should be ongoing while the medication is being administered? a) Hemoglobin. b) Ability to sleep. c) Respiratory rate. d) Urine protein.

c) Respiratory rate.

After an hour of administering oxytocin intravenously, you assess a woman's contractions to be 80 seconds in length. Your first action would be to a) continue to monitor contraction duration every 2 hours. b) increase the flow rate of the main line infusion. c) discontinue the oxytocin infusion. d) slow the infusion to under 10 gtt per minute. discontinue the oxytocin infusion.

c) discontinue the oxytocin infusion.

A 29-year-old postpartum client is receiving anticoagulant therapy for deep venous thrombophlebitis. The nurse should include which instructions in her discharge teaching? a) Avoid iron replacement therapy b) Shortness of breath is a common adverse effect of the medication c) Wear knee-high stockings when possible d) Avoid over-the-counter (OTC) salicylates

d) Avoid over-the-counter (OTC) salicylates