Chapter 39: Drugs Used in Obstetrics

8. Which drug will the nurse administer to prevent neonatal conjunctivitis in the newborn?

Erythromycin

14. The nurse administers hydralazine IV to control the blood pressure of a woman diagnosed with preeclampsia. If the nurse administered this medication at 0800, the next assessment of blood pressure should occur at:

0803.

10. Which test would the nurse anticipate to be done to determine if preterm labor is present in a patient whose symptoms are questionable?

Fetal fibronectin test

9. Which emergency drug must be available when caring for a patient receiving magnesium sulfate?

Calcium gluconate

1. Which drug will the health care provider prescribe to soften the cervix of a woman who is at 42 weeks of gestation?

Dinoprostone (Prepidil)

11. Which is characterized by seizures?

Eclampsia

12. Which medication is used to treat a patient with atonic uterus?

Ergonovine

13. A woman is 32 weeks pregnant and has been examined by the health care provider on June 1. She is scheduling her next appointment. The most appropriate day for the nurse to schedule the appointment is:

June 16.

5. 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?

Magnesium sulfate

4. Which drug is administered after delivery to reduce the risk of postpartum hemorrhage after the placenta has been delivered?

Oxytocin (Pitocin)

3. A 26-year-old patient with preeclampsia is receiving IV magnesium sulfate. The 1400 assessment includes blood pressure, 100/70 mm Hg; respiration, 10; fetal heart tone, 100/min; urine output, 20 mL/hr; and absent patellar reflex. Which is the priority nursing action?

Stop the IV magnesium sulfate and administer calcium gluconate 5 mEq IV over 3 minutes.

6. Which drug is administered when a patient is experiencing premature labor?

Terbutaline (Brethine)

2. For which reason will betamethasone IM be administered to the mother in premature labor?

To stimulate lung maturity in the fetus

7. 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 nurses best reply?

Your baby may be Rh positive and cause you to make antibodies. These wont affect this baby, but could affect future children if RhoGAM isnt given.

16. Which assessment(s) will the nurse complete during routine pregnancy visits? (Select all that apply.)

a. Blood pressure c. Weight d. Fetal heart sounds A C D

17. A patient at 33 weeks gestation is admitted to the obstetric unit in active labor with symptoms associated with pregnancy induced hypertension (PIH). Which action(s) will the nurse implement? (Select all that apply.)

a. Vital signs hourly c. Administration of magnesium sulfate IV d. Fetal stress test e. Assessment of deep tendon reflexes A C D E

18. What will the nurse include when teaching a postpartum patient about expected adverse effects of Rho(D) immune globulin? (Select all that apply.)

c. Fever e. Aches C E

15. When caring for the neonate immediately following delivery, the priority nursing diagnosis will be:

ineffective airway clearance.