pharm chap 6

A pregnant woman asks why she needs to take a folic acid supplement. What is the nurse's best explanation for the administration of folic acid? ìFolic acid prevents the development of contractions.î ìFolic acid prevents neural tube birth defects.î ìFolic acid builds strong fetal bones.î ìFolic acid will decrease nausea and vomiting.î

Folic acid prevents neural tube birth defects.

A woman was administered misoprostol in an effort to induce labor, but the care team is unsatisfied with the results. Consequently, oxytocin will be used. Prior to administering oxytocin, what must occur? Four hours must elapse after the last dose of misoprostol. The woman must have a type and cross-match performed. The woman must receive a bolus of 500 mL normal saline. The woman must have her electrolytes measured.

Four hours must elapse after the last dose of misoprostol.

A pregnant woman is experiencing nausea and vomiting in her first trimester of pregnancy. Which herbal agent that has traditionally been used as an antiemetic could the nurse discuss with the client? ginger garlic Ginkgo biloba green tea

Ginger

A primiparous woman was vigilant in avoiding medications and herbs during her pregnancy and states that she is similarly committed to protecting her baby's health now that she is breast-feeding. What principle should guide the woman's use of herbs while breast-feeding? Very few herbs are explicitly contraindicated while breast-feeding. It is generally safer to use herbs rather than medications while breast-feeding. Most women can resume their prepregnancy herbal regimen after delivery. Not all herbs are safe while a woman is breast-feeding.

Not all herbs are safe while a woman is breast-feeding.

A woman prescribed the highly active antiretroviral therapy (HAART) for HIV/AIDS has become pregnant. What is the effect the woman's pregnancy is expected to have on her drug regimen? She must discontinue HAART due to the risk of teratogenic effects. Her dosages of HAART must be increased to reduce the risk of in utero transmission. She can continue her HAART unchanged as long as recommended doses are prescribed. Some components of her HAART must be replaced or discontinued.

She can continue her HAART unchanged as long as recommended doses are prescribed.

A woman has been unable to conceive for many months and will soon begin treatment with clomiphene. What health education should the nurse provide to this client? Avoid drinking alcohol while taking clomiphene. Perform daily OTC pregnancy tests beginning the day after taking clomiphene. Take basal temperature between 5 and 10 days after taking clomiphene. Report any numbness or tingling in hands or lips to the care provider.

Take basal temperature between 5 and 10 days after taking clomiphene.

A couple have been trying unsuccessfully for nearly a year to become pregnant and have now sought fertility counseling. The nurse should be aware of what potential etiological factors related to infertility? Select all that apply. absence of sperm endometriosis vaginitis blocked fallopian tubes fibromyalgia

absence of sperm, endometriosis, blocked fallopian tubes

A woman who began labor several hours ago is now prescribed oxytocin. What is the goal of oxytocin therapy? prevent postpartum bleeding decrease fetal hyperactivity augment weak or irregular contractions diminish periods of uterine relaxation

augment weak or irregular contractions

A woman in labor is being treated with magnesium sulfate intravenously and is beginning to show signs and symptoms of hypermagnesemia. The infusion has been discontinued, and the nurse should anticipate administration of what drug? metoprolol calcium gluconate potassium chloride furosemide

calcium gluconate

A woman is being administered IV magnesium sulfate. What is a desired outcome related to the administration of magnesium sulfate? increased contractions respiratory rate above 18 decreased blood pressure increased uterine tone

decreased blood pressure

A woman who is in the first trimester of her pregnancy has told the nurse, ìI've stopped taking my blood pressure pill because I know it could harm the baby. Instead, I've started taking natural and herbal remedies.î What nursing diagnosis is suggested by the woman's statement? deficient knowledge related to drug and herbal effects during pregnancy health-seeking behaviors related to protection of fetal health acute confusion related to the potential teratogenic effects of herbs effective therapeutic regimen management related to use of herbs rather than drugs

deficient knowledge related to drug and herbal effects during pregnancy

6. A client is being administered magnesium sulfate for preterm labor. The client's serum magnesium level is elevated at 11 mg/dL. With what sign or symptom will the client likely present? A) tachypnea B) muscle rigidity C) tachycardia D) depressed deep tendon reflexes

depressed deep tendon reflexes

A woman is at 42 weeks of gestation. Which medication will be administered to promote cervical ripening? calcium gluconate magnesium sulfate terbutaline dinoprostone

dinoprostone

A client is receiving oxytocin. Which is a maternal focused adverse effect of the medication? acute confusion hypertension edema inverted T wave

hypertension

A nurse is performing health education with a woman who has just learned that she is pregnant. The nurse has explained the concept of teratogenic drugs and emphasized the need to have her care provider assess any medications she should consider taking. The nurse should teach the woman that drug-induced teratogenicity is most likely to occur at what point in her pregnancy? during the second half of her third trimester in the 7 to 10 days after conception in the first trimester during organogenesis during 30 to 34 weeks of gestation

in the first trimester during organogenesis

A woman in preterm labor has been administered terbutaline sulfate. For what potential adverse effects should the nurse assess the client? pruritus (itching) and copious diaphoresis joint pain and numbness in her extremities headache and visual disturbances palpitations and shortness of breath

palpitations and shortness of breath

A pregnant woman states that she has been constipated since becoming pregnant. Which medication is most appropriate for preventing constipation related to pregnancy? psyllium mineral oil saline cathartic stimulant cathartic

psyllium

A woman who is 7 months pregnant is waking up at night experiencing gastroesophageal reflux. Which medication is most highly recommended? terbutaline diphenoxylate ranitidine chlorothiazide

ranitidine

When administering magnesium sulfate, for what should the nurse assess the client? dry, pale skin respiratory depression agitation tachycardia

respiratory depression

A client is being treated for preterm labor. Which beta-adrenergic medication is administered orally to decrease uterine contractions? magnesium sulfate oxytocin nifedipine terbutaline

terbutaline