Ch 32 Maternity and Newborn Medications

Methylergonovine is prescribed for a woman to treat postpartum hemorrhage. Before administration of methylergonovine, what is the priority assessment? 1. uterine tone 2. blood pressure 3. amount of lochia 4. deep tendon reflexes

2. blood pressure

The nurse asks a nursing student to describe the procedure for administering erythromycin ointment to the eyes of a newborn. Which student statement indicates that further teaching is needed about administration of the eye medication? 1. "i will flush the eyes after instilling the ointment" 2. "i will clean the newborn's eyes before instilling ointment" 3. "i need to administer the eye ointment within 1 hour after delivery" 4. "i will instill the eye ointment into each of the newborn's conjunctival sacs"

1. "i will flush the eyes after instilling the ointment"

The nurse is monitoring a client in preterm labor who is receiving intravenous magnesium sulfate. The nurse should monitor for which adverse effects of this medication? Select all that apply. 1. flushing 2. hypertension 3. increased urine output 4. depressed respirations 5. extreme muscle weakness 6. hyperactive deep tendon reflexes

1. flushing 4. depressed respirations 5. extreme muscle weakness

An opioid analgesic is administered to a client in labor. The nurse assigned to care for the client ensures that which medication is readily accessible should respiratory depression occur? 1. naloxone 2. morphine sulfate 3. betamethasone 4. hydromorphone hydrochloride

1. naloxone

The nurse is preparing to administer exogenous surfactant to a premature infant who has respiratory distress syndrome. The nurse prepares to administer the medication by which route? 1. intradermal 2. intratracheal 3. subcutaneous 4. intramuscular

2. intratracheal

A pregnant client is receiving magnesium sulfate for the management of preeclampsia. The nurse determines that the client is experiencing toxicity from the medication if which findings are noted on assessment? Select all that apply. 1. proteinuria of 3+ 2. respirations of 10 breaths/min 3. presence of deep tendon reflexes 4. urine output of 20 mL in an hour 5. serum magnesium level of 4 mEq/L

2. respirations of 10 breaths/min 4. urine output of 20 mL in an hour

A client in preterm labor (31 weeks) who is dilated to 4 cm has been started on magnesium sulfate and contractions have stopped. If the client's labor can be inhibited for the next 48 hours, the nurse anticipates a prescription for which medication? 1. nalbuphine 2. betamethasone 3. Rh o (D) immune globulin 4. dinoprostone vaginal insert

2. betamethasone

The nurse is monitoring a client who is receiving oxytocin to induce labor. Which assessment findings should cause the nurse to immediately discontinue the oxytocin infusion? Select all that apply. 1. fatigue 2. drowsiness 3. uterine hyperstimulation 4. late decelerations of the FHR 5. early decelerations of the FHR

3. uterine hyperstimulation 4. late decelerations of the FHR

Rh o (D) immune globulin is prescribed for a client after delivery and the nurse provides information to the client about the purpose of the medication. The nurse determines that the woman understands the purpose if the woman states that it will protect her next baby from which condition? 1. having Rh-positive blood 2, developing a rubella infection 3. developing physiological jaundice 4. being affected by Rh incompatibility

4. being affected by Rh incompatibility

Methylergonovine is prescribed for a client with postpartum hemorrhage. Before administering the medication, the nurse should contact the HCP who prescribed the medication if which condition is documented in the client's medical history? 1. hypotension 2. hypothyroidism 3. diabetes mellitus 4. peripheral vascular disease

4. peripheral vascular disease