NCLEX Materinal /New Born
The nurse is assisting in monitoring a preterm infant in the neonatal intensive care unit who received surfactant. The nurse monitors for which desired therapeutic outcome of this medication?
Decreased tachypnea and nasal flaring
Methylergonovine is prescribed for a client with postpartum hemorrhage caused by uterine atony. Before administering the medication the nurse checks which important client parameter?
Blood pressure
Methylergonovine is prescribed for a woman to treat postpartum hemorrhage. Before administration of methylergonovine, what is the priority nursing assessment?
Blood pressure
The nurse is assisting in monitoring a pregnant client receiving nalbuphine for pain management. Which statement is true with regard to the use of nalbuphine?
Nalbuphine is not likely to cause significant respiratory depression.
The nurse provides explanation to a client prescribed methylergonovine maleate in the immediate postpartum period. Which statement made by the client demonstrates understanding of the rationale for administration?
"It will help prevent bleeding and control bleeding if it occurs."
Magnesium sulfate is prescribed for a client with severe preeclampsia. Which statement by the student nurse indicates the need for further teaching regarding the action of this medication?
"It increases acetylcholine and blocks neuromuscular transmission."
A client in preterm labor (31 weeks) who is dilated to 4 cm has been started on magnesium sulfate and her contractions have stopped. If the client's labor can be inhibited for the next 48 hours, the nurse anticipates a prescription for which medication?
Betamethasone
A client diagnosed with severe preeclampsia is on magnesium sulfate by continuous intravenous infusion. Which finding suggests to the nurse that the next dose of this medication would be held?
Absence of deep tendon reflexes
Oxytocin is utilized in multiple ways in the labor and delivery unit. The nurse correctly identifies which purposes for administering this medication? Select all that apply.
Aids milk let down Controls uterine atony Augments labor contractions Stimulates uterine contractions
A licensed practical nurse (LPN) is assisting in the care of a client in preterm labor who is being started on intravenous magnesium sulfate to stop the contractions. The LPN checks to see that which is available on the unit as an antidote to magnesium sulfate?
Calcium gluconate
A licensed practical nurse (LPN) is assisting in the care of a client who is receiving oxytocin to induce labor. The LPN plans to notify the registered nurse immediately if which signs and symptoms are noted? Select all that apply.
Decreased blood pressure, increased pulse Contractions greater than 1 minute in duration
The nurse is caring for a client in preterm labor who is receiving terbutaline sulfate to stop uterine activity. During this medication therapy, the nurse implements nursing interventions to monitor which specific body organs that can be affected by this medication?
Heart and lungs
Methylergonovine is prescribed for a client with postpartum hemorrhage. Before administering the medication, the nurse contacts the primary health care provider (PHCP) who prescribed the medication if which condition is documented in the client's medical history?
Peripheral vascular disease
The nurse is assisting in caring for a pregnant client who is receiving intravenous magnesium sulfate for the management of preeclampsia and notes that the client's deep tendon reflexes are absent. On the basis of this data, the nurse reports the finding and makes which determination?
The client is experiencing magnesium toxicity.
The nurse has a routine prescription to instill erythromycin ointment into the eyes of the newborn. The nurse would explain to the parents that this medication is used for which primary purpose?
To protect the newborn from contracting an eye infection from the birth process
Oxytocin is administered to a client following the delivery of the placenta. The nurse assisting in caring for the client monitors for which effective response from the medication?
Uterine contractions
The nurse is assigned to care for a client who received methylergonovine maleate in the immediate postpartum period. The nurse determines the medication is effective when the client makes which statement?
"My afterpains are really strong."
The nursing student is assigned to care for a 30-week gestational woman who is admitted to the maternity unit in preterm labor. Betamethasone is prescribed to be administered to the mother. The nursing instructor asks the student about the purpose of the medication. Which statement by the student indicates an understanding of the purpose of this medication?
"This medication will promote fetal lung maturity."
The nurse is reviewing the procedure for vitamin K injection in the newborn with a nursing student. Which information would the nurse provide to the student?
Inject into skin that has been cleansed with alcohol.
The nurse is assisting in administering beractant to a premature infant who has respiratory distress syndrome. The nurse understands that the medication would be administered by which route?
Intratracheal
A client with severe preeclampsia is receiving magnesium sulfate by intravenous infusion. Which criteria indicate expected findings for this medication? Select all that apply.
Deep tendon reflexes at+2 Magnesium level of 7 mg/dL Urine output of 30 mL per hour Feeling of warmth, flushing and diaphoresis
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?
Naloxone
