Pharmacology Chapter 39-40 Test

The nurse is teaching a patient about the use of the transdermal contraceptive patch. Which statement by the patient indicates a correct understanding about the use of this medication? -"I will reinforce the patch with tape if it becomes loose." -"The patch can be applied to any area of skin that is free of hair." -"I should apply the patch on the first Sunday after my next menses stops." Incorrect -"I need to use a back up contraceptive for the first 7 days of the first cycle I use the patch."

"I need to use a back up contraceptive for the first 7 days of the first cycle I use the patch."

The nurse is teaching a patient about the use of tamsulosin (Flomax). Which statement by the patient indicates a need for further teaching? -"I will lie down if I become lightheaded." -"I should not drink alcohol while taking this drug." -"I will stop taking this medication if I develop a headache." -"I will take this medication within 30 minutes after eating."

"I will stop taking this medication if I develop a headache."

The nurse is teaching a patient beginning therapy with dutasteride (Avodart). How long will it take before the patient can expect results? *2 weeks *6 months *24 hours *1 month

* 6 months

A female patient has developed leukorrhea since being on oral broad spectrum antibiotics for the past week for a lower respiratory infection. Which organism causes leukorrhea? *Mycoplasma hominis *Human papillomavirus (HPV) *Herpes simplex *Candida albicans

* Candida albicans

Where does the nurse place ophthalmic ointment in an infant? -Lower conjunctival sac -Inner canthus of the eye -Directly into the center of the eye -At the bottom of the upper eyelid

- lower conjunctival sac

How does the nurse instruct a patient to use the NuvaRing for birth control when she has not used a hormonal contraceptive within the past month? -"Insert the ring 7 days after the last menstrual cycle." -"Insert the contraceptive ring on or prior to day 5 of the cycle." -"Insert the ring during the menstrual cycle and remove it on the last day of bleeding." -"Insert the ring on the last day of the menstrual cycle and remove it when bleeding begins again."

-"Insert the contraceptive ring on or prior to day 5 of the cycle."

erythromycin opthalmic ointment (Ilotycin)

Action/Use: macrolide antibotic used prophylactically to prevent ophthalmia neonatorum causes by N. gonorrhea and chlamydial opthalmia caused by C. trachomatis Therapeutic outcomes: prevention of postpartum gonorrhea or Chlamydia eye infection Common: mild conjunctivitis

A patient has been ordered oxytocin (Pitocin) to induce labor. The nurse questions the order after finding that the patient is also taking which medication? -Penicillin -Milk of Magnesia (MOM) -Acetaminophen (Tylenol) -Ephedrine sulfate (Pretz D)

Ephedinre sulfate (Pretz D)

Which ophthalmic ointment does the nurse anticipate will be given to a newborn immediately after birth? -Triple dye -Bacitracin -Erythromycin (Ilotycin) -Gentamicin (Garamycin)

Erythromycin (Ilotycin)

A patient is receiving magnesium sulfate for the treatment of preeclampsia. What does the nurse monitor for if the patient's magnesium level is 10.2 mg/dL? -Insomnia -Increased urine output -Increased blood pressure -Loss of deep tendon reflexes

Loss of deep tendon reflexes

Which drug is administered after delivery to reduce the risk of postpartum hemorrhage after the placenta has been delivered? a. Oxytocin (Pitocin) b. Dopamine c. Vitamin K d. Magnesium sulfate

Oxytocin (Pitocin)

What does the nurse assess for in an infant whose mother has been taking magnesium sulfate before delivery? -Hyperreflexia -High blood pressure -Increased urine output -Respiratory depression

Respiratory depression

What herbal supplement may reduce the effectiveness of oral contraceptives? -Garlic -Ginseng -St. John's wort Correct -Evening primrose oil

St. John's wort

What herbal supplement may reduce the effectiveness of oral contraceptives? a.Evening primrose oil b. Ginseng c. St. John's wort d. Garlic

St. John's wort

Alpha-1 adrenergic blocking agents

Uses: used to reduce mild to moderate urinary obstruction manifestations in men with BPH Therapeutic outcomes: reduced syptoms and improvement in urine flow associated with prostate gland enlargement Common: drowsiness, headache, dizziness, weakness, lethargy, dizziness, tachycardia, fainting

The primary therapeutic outcome associated with oxytocin therapy are all of the following except: a. softening of the cervix b. initiation of labor c. support of uterine contractions during the first and second stages of labor d. control of postpartum bleeding

a. softening of the cervix

the patient taking birth control pills asks the nurse what to do if she forgets to take a pill. the nurse's best response is: a. take the pill as soon as it is remembered and take the next pill at the regularly scheduled time b. skip the pill and take the next pill at the regular scheduled time c. take two pills at the next regularly scheduled time d. start a new pack of pills on the next sunday even if menstruating

a. take the pill as soon as it is remembered and take the next pill at the regularly scheduled time

Uterine relaxants

also known as tocolytic agents are used primarily to delay or prevent preterm labor and delivery in selected patients most commonly used to inhibit labor for 2-7 days

The nurse is teaching a patient about the use of tamsulosin (Flomax). Which statement by the patient indicates a need for further teaching? a. "I should not drink alcohol while taking this drug." b. "I will stop taking this medication if I develop a headache." c. "I will take this medication within 30 minutes after eating." d. "I will lie down if I become lightheaded."

b. "I will stop taking this medication if I develop a headache."

Because of the possibility of birth defects, oral contraceptive therapy should be discontinued at least ________ month(s) before attempting pregnancy. a. 1 b. 3 c. 6 d. 9 e.12

b. 3

Which vitamin does the nurse anticipate will be given to a newborn to prevent hemorrhage? -K -E -B12 -Folic acid

k

Which emergency drug must be available when caring for a patient receiving magnesium sulfate? *Dextrose *Dopamine *Naloxone *Calcium gluconate

*Calcium gluconate

Which medication is used to treat a patient with atonic uterus? *Ergonovine *Estradiol *Ergotamine *Egophony

*Ergonovine

For which reason will betamethasone IM be administered to the mother in premature labor? *To stop uterine contractions *To stimulate lung maturity in the fetus *To prevent precipitous labor *To stimulate prolactin to enhance breastfeeding

*To stimulate lung maturity in the fetus

Which assessment(s) will the nurse complete during routine pregnancy visits? (Select all that apply.) *Weight *Blood pressure *Hemoglobin *Fetal heart sounds *Glucose tolerance test (GTT)

*Weight *Blood pressure *Fetal heart sounds

When caring for the neonate immediately following delivery, the priority nursing diagnosis will be: *risk for infection. *risk for bleeding. *ineffective airway clearance. *altered body temperature.

*ineffective airway clearance

The nurse instructs a patient taking a transdermal contraceptive to avoid placing the patch in which location? -Breasts -Buttock -Abdomen -Upper outer arm

- Breasts

A pregnant woman receiving magnesium sulfate develops magnesium toxicity. Which antidote does the nurse anticipate will be ordered by the healthcare provider? -Vitamin K -Protamine sulfate -Calcium gluconate -Terbutaline (Brethine)

- Calcium gluconate

A patient is receiving dinoprostone (Cervidil) for the treatment of a benign hydatidiform mole. The nurse assesses the patient for which adverse effect of this drug? -Fever -Edema Incorrect -Constipation -Hypertension

- Constipation

A patient is prescribed dutasteride (Avodart) for the treatment of benign prostatic hypertrophy. The nurse questions the order after finding that the patient is also taking which medication? -Tetracycline -Nitroglycerin -Diltiazem (Cardizem) -Warfarin (Coumadin)

- Diltiazem (Cardizem)

In which situation does the nurse instruct a patient taking the oral contraceptive Tri Levlen to use an additional form of birth control? -If a Pap smear is scheduled -If the patient is taking penicillin -If the patient is chewing tobacco -If the patient is drinking grapefruit juice

- If the patient is taking penicillin

Which premedication assessment is essential before initiating finasteride (Proscar) therapy? -Sperm count -Glucose tolerance -Complete blood count (CBC) -Prostate specific antigen (PSA) level

- Prostate specific antigen (PSA) level

The nurse notes methyergonovine maleate (Methergine) has been ordered for induction of labor. The nurse holds the dose and contacts the provider for which reason? -Maternal bradycardia may occur. -Sustained contractions may occur. -The drug may cause severe hypoglycemia. -Increased urine output is an adverse effect of the drug.

- Sustained contractions may occur

The nurse is teaching a patient about the use of clomiphene citrate (Clomid). Which statement by the patient indicates a need for further teaching? -"This drug should be taken for 5 days." -"I will not take this drug if I am pregnant." -"It is not necessary to take my temperature while taking this drug." -"I will have intercourse 6 to 10 days after the last dose of the drug."

-"It is not necessary to take my temperature while taking this drug."

The nurse is instructing a patient on use of a transdermal contraceptive. When evaluating the patient's understanding of the information provided, the nurse identifies a need for further education when the patient states: -"Trim the patch carefully prior to application." -"Fold the used patch over on itself before discarding." -"Use a backup contraceptive concurrently for the first 7 days of the first cycle." -"Apply the first patch during the first 24 hours of the menstrual period."

-"Trim the patch carefully prior to application."

A patient is a gravida 1, Rh-negative woman at a 28 weeks' gestation. The father of her child is Rh positive. The mother is asking the nurse about the effect on her unborn child of RhoGAM that has been ordered. What is the nurse's best reply? - "RhoGAM kills antibodies you make, so your child will be protected." -"Your child will do well after birth once transfusions are administered." -"If the baby is Rh negative at birth, he or she will need RhoGAM also." -"Your baby may be Rh positive and cause you to make antibodies. These won't affect this baby, but could affect future children if RhoGAM isn't given."

-"Your baby may be Rh positive and cause you to make antibodies. These won't affect this baby, but could affect future children if RhoGAM isn't given."

To evaluate the effectiveness of methylergonovine maleate (Methergine), which factor is most important for the nurse to assess? -Height of the fundus -Amount of vaginal bleeding -Presence of the let down reflex -Strength of uterine contractions

-Amount to vaginal bleeding

A student taking combination oral contraceptives reports to the nurse that she has not missed a pill but missed a period. Which instruction does the nurse give to the student? -Get a pregnancy test -Continue taking the pills as prescriber -Discuss a dose adjustment with her prescriber -Take two pills per day for the first week of the next cycle

-Continue taking the pills as prescribed

A dinoprostone (Cervidil) 10 mg vaginal insert is ordered for a primipardum woman at term to induce cervical ripening. When planning care for this patient, which factor must the nurse consider? -The patient must remain supine once the dinoprostone is in place. -Dinoprostone must be warmed to room temperature before insertion. -Dinoprostone must be removed at the onset of labor or 12 hours after insertion. -The patient must be monitored closely for the development of hypertension and dysrhythmias.

-Dinoprostone must be removed at the onset of labor or 12 hours after insertion.

Which is characterized by seizures? -Eclampsia -Preeclampsia -Pregnancy induced hypertension -Premature rupture of membranes

-Eclampsia

Which drug will the nurse administer to prevent neonatal conjunctivitis in the newborn? -Dexamethasone -Erythromycin -Silver nitrate -Vitamin K

-Erythromycin

What will the nurse include when teaching a postpartum patient about expected adverse effects of Rho(D) immune globulin?(Select all that apply.) -Insomnia -Fever -Nausea -Diarrhea -Anorexia -Aches -Constipation

-Fever -Aches

The nurse is giving instructions to a young female at an outpatient clinic regarding combination OCP therapy. What information will the nurse include? (Select all that apply.) -If a pill is missed, take it immediately and remain on schedule for the next dosage. -Medication should be discontinued 1 year before attempting pregnancy. -A back up birth control method should be used for the first 6 months. -Medication should be taken at approximately the same time daily. -Headaches, dizziness, and chest or abdominal pain should be reported immediately.

-If a pill is missed, take it immediately and remain on schedule for the next dosage. -Medication should be taken at approximately the same time daily. -Headaches, dizziness, and chest or abdominal pain should be reported immediately.

Which instruction does the nurse give to a patient with angina who has just received a prescription for sildenafil (Viagra)? -Use the drug no more frequently than every 3 days -Avoid frozen and preserved foods when using the drug -Start with an initial dose of 100 mg and increase to 150 mg if needed -If an anginal attack occurs, lie down and rest; do not take nitroglycerin

-If an anginal attack occurs, lie down and rest; do not take nitroglycerin

A patient diagnosed with benign prostatic hypertrophy asks why tamsulosin (Flomax), an alpha1 adrenergic blocking agent, has been prescribed. Which explanation by the nurse is most accurate? -It improves sexual function. -It inhibits the action of testosterone. -It reduces the size of the prostate. -It increases urinary flow.

-It increases urinary flow

Which is more likely to be experienced by women taking the mini pill as an oral contraceptive? -Increased estrogen related adverse effects -Excessive weight gain and breast tenderness -Difficulty breastfeeding after pregnancy -Ovulation, dysmenorrhea, and break-through bleeding

-Ovulation, dysmenorrhea, and break-through bleeding

Which type of drug is most effective in the treatment of erectile dysfunction (ED)? -Sympathomimetic agents -Alpha 1 adrenergic blocking agents -Antiandrogen agents -Phosphodiesterase inhibitors

-Phosphodieterase inhibitors

The nurse is assessing a primipardum woman whose labor is being induced with oxytocin (Pitocin). Assessment findings include blood pressure 138/86, pulse 80, respirations 22, fetal heart rate (FHR) of 156, and strong 96 second contractions. Which action does the nurse take? -Administer oxygen by nasal cannula -Position the mother on her left side -Slow the infusion to a keep open rate -Institute monitoring with a tocometer

-Slow the infusion to a keep open rate

The health care provider has instructed a patient to use over the counter miconazole (Monistat) cream to treat her vaginal yeast infection. What information is important to include inpatient education? (Select all that apply.) -Wash the genital area thoroughly before inserting the vaginal cream. -Wash the applicator before usage. -The sexual partner may require treatment as well. -Wear a minipad to catch remaining discharge following vaginal administration. -Wash hands before and after administration.

-Wash the genital area thoroughly before inserting the vaginal cream. -The sexual partner may require treatment as well. -Wear a minipad to catch remaining discharge following vaginal administration. -Wash hands before and after administration.

The nurse at an outpatient clinic is educating a group of young adults regarding prevention of the spread of sexually transmitted infections.Information will include: (Select all that apply.) -frequent use of nonoxynol 9. -the use of latex condoms when infection is present. -the importance of "partner services." -abstinence. -the use of hormonal contraceptives.

-the importance of "partner services" -abstinence

Phosphodiesterase inhibitors

Action: Uses: Therapeutic outcomes: improved erectile function and overall sexual satisfaction in med with ED Common: headache, flushing of the face and neck, color vision impairment Serious: hypotension, dizziness, angina, loss of vision, sustained erectile,

magnesium sulfate

Action: 1.8-3 mEq/L, may depress the central nervous system and block peripheral nerve transmission, producing anticonvulsant effects and smooth muscle relaxation Uses: used in obstetrics primarily to inhibit premature labor, control seizure activity associated with preeclampsia and eclampsia should be maintined 4-8 mEq/L Therapeutic outcomes: arrest of preterm labor, and elimination of seizure activity Common: none Serious: deep tendon reflexes, confusion, I&O, vital signs, overdose

Oral contraceptives

Action: Estrogens, and progestrins to come extent, induce contraception by inhibiting ovulation Estrogens block pituitary release FSH, preventing the ovaries from developing a follicle from which the ovum is released. Progestins inhibit pituitary release LH, responsible for releasing an ovum from a follicle Uses: two types of pill, combination pill, which contain both estrogen and progestrin, and the mini pill which only contains progestrin Therapeutic outcomes: prevention of pregnancy Common: nausea, weight gain, missed periods, depression, mood changes, headaches Serious: vaginal discharge, yeast infection, blurred vision, severe headaches, dizziness, leg pain, chest pain, shortness of breath, acute abdominal pain

Intravaginal hormonal contraceptive etonogestrel-ethinyl vaginal ring (NuvaRing)

Action: a contraceptive that inhibits ovulation Uses: same as combination oral contraception except in a plastic ring that the women inserts into her vagina for 3 weeks Therapeutic outcomes: prevention of pregnancy Common: same as oral

Transdermal contraceptives norelgestromin-ethinyl estradiol transdermal system (Ortho, Evra, Xulane)

Action: a contraceptive the inhibits ovulation Uses: same as like combination oral contraceptives, except in a transdermal patch that is applied weekly for 3 weeks Therapeutic outcomes: prevention of pregnancy Common: same as oral contraceptives

methylergonovine maleate

Action: directly stimulates uterine contractions Uses: used in small doses in postpartum patients to control bleeding and maintain uterine firmness. may be used in women who have wish to breastfeed Therapeutic outcomes: reduced postpartum blood loss Common: nausea, vomiting, abdominal cramping Serious: hypertension

phytibadione

Action: fat-soluble vitamin necessary for the production of the blood-clotting factors prothrombin Uses: administered prophylacticlly to protect against vitamin K deficency bleeding of the newborn Serious: bruising, hemorrhage

finasteride (Proscar)

Action: inhibits the enzyme 5-alpha reductase Uses: to treat symptoms associated with BPH, reduce the risks, and minimize Common: same as before

Antiandrogen agents dutasteride (Avodart)

Action: inhibits the enzyme 5-alpha reductase Uses: used to treat the symptoms associated with BPH, reduced the risks associated with urinary retention, and minimize the need for surgery associated with BPH Common: impotence, decreased libido, decreased volume of ejaculate

dinoprostone (Cervidil, Prepidil)

Action: natural chemical in the body that causes uterine and gastrointestinal smooth muscle stimulation. Also plays an active role in cervical softening and dilation Uses: used to start and continue cervical ripening at term, also used to expel uterine contents in cases of intrauterine fetal death, benign hydatidiform mole, missed spontaneous miscarriage and second-trimester abortion Therapeutic outcomes: cervical softening and dilation before labor, and evacuation of uterine contents Common: nausea, vomiting, diarrhea, fever Serious: Orthostatic hypotension

misoprostol (Cytotec)

Action: prevent nonsteroidal antiinlammatory drug-induced ulcer disease, also induce uterine contractions in the pregnant uterus Uses: used as a cervical ripening agent, for induction of labor, and for treatment of serious postpartum hemorrhage Therapeutic outcomes: cervical softening and dilation before labor, induction of active labor, reduction in postpartum hemorrhage in the presence of uterine atony, evacuation of uterine contents Common: nausea, vomiting, diarrhea, fever Serious: Orthostatic hypotension

oxytocin (Pitocin)

Action: produced in the hypothalamus, that stimulates the smooth muscle of the uterus, blood vessels, and the mammary glands Uses: inducing labor at term and for augmenting uterine contractions during the first and second stages of labor Therapeutic outcomes: initiation of labor, support of uterine contractions during the first and second stages in labor, and control of postpartum bleeding Common: uterine contractions, nausea, vomiting Serious: fetal distress, hypertension, hypotension, water toxicity, dehydration, postpartum hemorrhage

clomiphene citrate

Action: stimulates the ovaries to release ova for potential fertilization Uses: induce ovulation in women who are not ovulating because of reduced circulating estrogen levels; 25-30% pregnancy occurs when treated Therapeutic outcomes: ovulation, followed by fertilization and pregnancy Common: nausea, vomiting, diarrhea, constipation, hot flashes, abdominal cramps Serious: severe abdominal cramps, visual disturbances, dizziness

Rho(D) immune globulin IM

Action: suppresses the stimulation of active immunity by Rh-positive foreign RBCs that enter the maternal circulation at the time of delivery Uses: prevent Rh immunization of the Rh negative pateint exposed to Rh positive blood as the result of a transfusion accident Therapeutic outcomes: prevention of Rh hemolytic disease Common: localized tenderness, fever, arthralgias, generalized aches, pains, urticaria, tachycardia, hypotension

The nurse is teaching a patient about the use of clomiphene citrate (Clomid). Which statement by the patient indicates a need for further teaching? a. "It is not necessary to take my temperature while taking this drug." b. "I will have intercourse 6 to 10 days after the last dose of the drug." c. "This drug should be taken for 5 days." d. "I will not take this drug if I am pregnant."

a. "It is not necessary to take my temperature while taking this drug."

the patient with geastational diabetes should have her glucose level monitored every _____ hours during labor. a. 2 b. 4 c. 8 d. 12

a. 2 hours

The nurse is completing afemale reproductive history on a 16 year old. What important assessment(s) should be included? (Select all that apply.) a. Breast self-examination (BSE) routine b. Sexual orientation and number of partners c. Number of pregnancies, live births, miscarriages, and abortions d. Age of menarche and pattern of menses e. Smoking and blood pressure history when seeking a prescription for oral contraceptive pills (OCPs) f. Nutritional intake of carbohydrates

a. Breast self-examination (BSE) routine b. Sexual orientation and number of partners c. Number of pregnancies, live births, miscarriages, and abortions d. Age of menarche and pattern of menses e. Smoking and blood pressure history when seeking a prescription for oral contraceptive pills (OCPs)

A patient is prescribed dutasteride (Avodart) for the treatment of benign prostatic hypertrophy. The nurse questions the order after finding that the patient is also taking which medication? a. Diltiazem (Cardizem) b. Warfarin (Coumadin) c. Tetracycline d. Nitroglycerin

a. Diltiazem (Cardizem)

The primary therapeutic use associated with dinoprostone (Cervidil) is: a. cervical softening and dilation before labor b. induce uterine contractions c. reduce inflammation of the uterus d. prevent postpartum hemorrhage

a. cervical softening and dilation before labor

An androgen hormone inhibitor that reduces the hyperplastic cell growth associated with prostatic hyperplasia is: a. dutasteride (Avodart) b. alfuzosin (Uroxatral) c. silodosin (Rapaflo) d. tamsulosin (Flomax)

a. dutasteride (Avodart)

Uterine Stimulants: * Four primary clinical indications

a. induction or augmentation of labor b. control of postpartum atony and hemorrhage c. control of post surgical hemorrhage d. induction of therapeutic abortion

Progestins work as a contraceptive by inhibiting pituitary release of lutenizing hormone, the hormone responsible for releasing a(n): a. ovum b. sperm c. embryo d. zygote

a. ovum

When prescribed, Rho(D) immune globulin (RhoGAM) is typically given in which situation? a. During the 32nd week of gestation and after vaginal delivery b. During the 28th week of gestation and within 72 hours of delivery c. During the first trimester of pregnancy d. Immediately following delivery

b. During the 28th week of gestation and within 72 hours of delivery

It is legal requirement for every newborn's eyes to be treated prophylactically for: a. syphilis b. Neisseria gonorrhoeae c. herpes simplex d. papillomavirus

b. Neisseria gonorrhoeae

A patient states that shehas a difficult time remembering when to resume her triphasic contraceptive pills following her menses. Which alternative plan will the nurse suggest thatshe discuss with her health care provider? a. Calling the health care provider whenever she forgets to get appropriate instruction b. Changing to the 28-day packet c. Changing her prescription to the mini pill d. Using the inert pills every other month

b. changing to the 28-day packet

The nurse should ask the patient if she has ever been given Rho(D) immune globulin (RhoGAM). She knows that it is given: a. to increase ovulation b. for Rh factor incompatibility c. to help maintain the implanted ovum d. for blood type incompatibility

b. for Rh factor incompatibility

A patient is receiving dinoprostone (Cervidil) for the treatment of a benign hydatidiform mole. The nurse assesses the patient for which adverse effect of this drug? a. Hypertension b. Fever c. Constipation d. Edema

fever

There is a risk for serious adverse cardiovascular effects in patients who use both combination contraceptive and: a. take other medications b. smoke cigarettes c. drink alcohol d. have hypertension

b. smoke cigarette

A tocodynamometer should be used with oxytocin infusions to monitor: a. fetal heart rate b. uterine contractions c. vaginal bleeding d. seizure activity

b. uterine contractions

More than 50% of men in their ________ have benign prostatic hyperplasis(BPH). a. 40s b. 50s c. 60s d. 70s

c. 60s

A 36-week primigravida patient has been admitted to the unit with a blood pressure of 200/120 mm Hg, severe headache, and edema. Which medication does the nurse anticipate that the health care provider will order? a. Nifedipine (Procardia) b. Terbutaline (Brethine) c. Magnesium sulfate d. Furosemide (Lasix)

c. Magnesium sulfate

The NuvaRing works much like combination oral contraceptive, except the estrogen and progestin hormones are in a plastic ring dose form that the women: a. inserts vaginally just prior to intercourse b. has implanted under the skin c. inserts into her vagina for 3 weeks d. places around the man's penis prior to intercourse

c. inserts into her vagina for 3 weeks

An abnormal, usually whitish, vaginal discharge which may occur at any age is called: a. hematuria b. gonorrhea c. leukorrhea d. candida

c. leukorrhea

An intrauterine fetal death after 20 weeks gestation would be terminated by: a. suction curettage b. intraamniotic installation of hypertonic saline c. prostaglandin suppositories with or without oxytocin d. dilation and evacuation

c. prostaglandin suppositories with or without oxytocin

After delivery, the nurse should assess the patient for the amount of lochia, which is: a. breast fullness b. uterine firmness c. vaginal discharge d. fundal height

c. vaginal discharge

The health status of a neonate is estimated at 1 minute and 5 minute after delivery using the Apgar scoring system. The mother asks what a good score would be. The nurse's best response would be: a. 0-2 b. 3-5 c. 6-7 d. 8-10

d. 8-10

Which drug will the health care provider prescribe to soften the cervix of a woman who is at 42 weeks of gestation? a. Betamethasone (Celestone) b. Terbutaline (Brethine) c. Methylergonovine (Methergine) d. Dinoprostone (Prepidil)

d. Dinoprostone (Prepidil)

A hormone produced in the hypothalamus and stored in the pituitary gland which is the drug of choice for inducing labor at term is: a. misoprostol (Cytotec) b. methylergonovine malate (Methergine) c. magnesium sulfate d. oxytocin (Pitocin)

d. oxytocin (Pitocin)

The primary therapeutic outcome associated with transdermal contraceptive therapy is prevention of: a. menses b. cancer c. infection d. pregnancy

d. pregnancy

The first oral therapy to treat male erectile dysfunction approved in 1998 is: a. vardenafil (Levitra) b. tadalafil (Cialis) c. avanafil (Stendra) d. sildenafil (Viagra)

d. sildenafil (Viagra)

When prescribed, Rho(D) immune globulin (RhoGAM) is typically given in which situation? -Immediately following delivery -During the first trimester of pregnancy -During the 32nd week of gestation and after vaginal delivery -During the 28th week of gestation and within 72 hours of delivery

during the 32nd week of gestation and after vaginal delivery