Maternity and Newborn Medications NCLEX book questions

An opioid analgesic is administered to a client in labor. The nurse assigned to care for the client ensures that which medication is readily available if respiratory depression occurs? 1. Naloxone 2. Morphine sulfate 3. betamethasone (Celestone) 4. Meperidine hydrochloride (Demerol)

1. Naloxone

The nurse is preparing to administer beractant (Survanta) toa premature infant who has respiratory distress syndrome. The nurse plans to administer the medication by which route? 1. intradermal 2. intratracheal 3. subcutaneous 4. intramuscular

2. intratracheal

The nurse is monitoring a client in preterm labor who is receiving IV 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, 4, 5 flushing, depressed respirations, extreme muscle weakness

The nursing instructor asks a nursing student to describe the procedure for administrating erythromycin ointment to the eyes of a newborn. Which student statement indicates that further teaching is needed? 1. "I will flush the eyes after instilling the ointment." 2. " I will clean the newborn's eyes before instilling." 3. " I need to administer the eye ointment within 1 Hr 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."

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 finding is noted on assessment? 1. proteinuria 3+ 2. respirations of 10/min 3.presence of deep tendon reflexes 4. serum magnesium level of 6 mEq/L

2. respirations of 10/min

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 hrs, the nurse anticipates a prescription for which medication? 1. nalbuphine 2. betamethasone (Celestone) 3. Rh (D) immune globulin (RhoGAM) 4. Dinoprostone (Cercidil vaginal insert)

2. betamethasone (Celestone)

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

2. blood pressure Methylergonovine causes continuous uterine contractions and may cause elevated blood pressure

The nurse is monitoring a client who is receiving oxytocin (Pitocin) to induce labor. Which assessment finding would cause the nurse to immediately discontinue the infusion? 1. fatigue 2. drowsiness 3. uterine hyperstimulation 4. early decelerations of the fetal heart rate

3. uterine hyperstimulation

Rh(D)immune globulin (RhoGAM) 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 physiologic 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 contacts the health care provider 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