MATERNITY & NEWBORN MED Q

Vitamin K 0.5 mg is prescribed for a newborn. The vial on hand is labeled "1 mL = 2 mg." How many milliliters would the nurse administer?_____ mL

0.25

The primary health care provider instructs the nurse to administer a high dose of acyclovir 60 mg/kg/day to a neonate with a body weight of 4.4 lb. What dose would the nurse administer to the neonate each day?_______ mg

120

Acyclovir 0.8 g by mouth is prescribed for a client with herpes zoster. The oral suspension contains 200 mg/5 mL. How many milliliters will the nurse administer?___ mL

20

Penicillin G benzathine suspension 2.4 million units is prescribed for a client. The medication is available in a 10-mL multidose vial in which 1 mL = 300,000 units. How many milliliters will the nurse administer?___ mL

8

Shortly after birth the nurse instills erythromycin ophthalmic ointment in the newborn's eyes. The father asks why an antibiotic is needed. The nurse explains it is routinely administered to prevent which type of infection? Gonorrhea Toxoplasmosis Rubella Cytomegalovirus

A

Which action would the nurse take when a client's membranes rupture while her labor is being augmented with an oxytocin infusion and variable decelerations in the fetal heart rate occur? Change the client's position. Take the client's blood pressure. Stop the client's oxytocin infusion. Prepare the client for an immediate birth.

A

A client is taking an estrogen-progestin oral contraceptive. Which adverse effects from the contraceptive would the nurse teach the client to report to the primary health care provider? Select all that apply. One, some, or all responses may be correct. Dizziness Chest pain Bloating Nausea Calf tenderness Breast tenderness

A, B, E

Which adverse effect would the nurse monitor for after administering vitamin K to a newborn? Select all that apply. One, some, or all responses may be correct. Pain Edema Jaundice Erythema Hemolysis

All the above

Which information would the nurse provide to a client diagnosed with chlamydia and prescribed doxycycline? Select all that apply. One, some, or all responses may be correct. Report worsening symptoms. Refrain from sexual relations. Use barrier protection devices. Contact partners to be tested. Take the entire course of antibiotics.

All the above

Penicillin G and probenecid are prescribed for an adolescent who has syphilis. Which response would the nurse give to explain the rationale for this combination therapy? "Penicillin treats the syphilis, and the probenecid relieves the inflammation in the urethra." "Probenecid delays excretion of penicillin so the blood level of penicillin stays stable longer." "Probenecid lowers the risk of an allergic reaction to the penicillin, which treats the syphilis." "Penicillin attacks the organism during one stage of cell multiplication, and the probenecid attacks it at another stage."

B

The nurse is preparing an injection of vitamin K for the newborn. Which dosage and route will the nurse use? 1.0 to 1.5 mg given intramuscularly 0.5 to 1.0 mg given intramuscularly 1.0 to 1.5 mg given subcutaneously 0.5 to 1.0 mg given subcutaneously

B

Which clinical finding would the nurse evaluate before continuing the administration of intravenous (IV) magnesium sulfate therapy? Temperature and respirations Patellar reflexes and urinary output Urinary glucose and specific gravity Level of consciousness and funduscopic appearance

B

Which combination of maternal and infant blood type would be an indication for administration of Rho (D) immune globulin (RhoGAM) to the postpartum client? Mother A positive and infant O positive Mother O negative and infant O positive Mother AB negative and infant B negative Mother B positive and infant B negative

B

Which mechanism of action applies to penicillin? Prevents reproduction of the pathogen Inhibits cell wall synthesis of the pathogen Inhibits nucleic acid synthesis of the pathogen Injures the cytoplasmic membrane of the pathogen

B

The nurse would instruct a client to stop taking an oral contraceptive and notify the health care provider immediately for the presence of which clinical findings? Select all that apply. One, some, or all responses may be correct. One, some, or all responses may be correct. Nausea Headaches Weight loss Visual disturbances Increased menstrual flow

B, D

A client is receiving magnesium sulfate therapy for severe preeclampsia. Which initial sign of toxicity would prompt the nurse to intervene? Hyperactive sensorium Increase in respiratory rate Lack of the knee-jerk reflex Development of a cardiac dysrhythmia

C

After the birth of her child, a mother tells the nurse, "I was told that my baby has to have an injection of vitamin K. Why is this necessary?" Which response by the nurse is appropriate? "Your baby needs the injection to promote development of red blood cells." "An injection of vitamin K will help keep your baby from becoming jaundiced." "Newborns are deficient in vitamin K. This treatment will ensure adequate levels." "A newborn's blood clots extremely rapidly. This injection will help decrease the clotting time."

C

An amniotomy is performed on a client admitted for labor augmentation with oxytocin. Immediately after the amniotomy the nurse assesses the fetal heart rate for at least 1 full minute for signs of which complication? Infection Uterine atony Umbilical cord prolapse Maternal hypertension

C

Oral contraceptives are prescribed for a client who smokes heavily. Which side effect would the nurse warn the client might occur? Blood clots Cervical cancer Ovarian cancer Risk of coronary heart disease later in life

C

Which clinical finding supports the nurse withholding methylergonovine maleate from a postpartum client? Urine output of 50 mL/h Third-degree perineal laceration Blood pressure of 160/90 mm Hg Respiratory rate of 12 breaths/min

C

Which condition contraindicates oxytocin induction? Chorioamnionitis Postterm pregnancy Active genital herpes infection Hypertension associated with pregnancy

C

Which finding would the nurse be most concerned about in the client receiving a bolus of magnesium sulfate intravenously for the treatment of preeclampsia? Flushing Diaphoresis Blurred vision Burning at the intravenous (IV) site

C

Which site would the nurse use to administer vitamin K to a newborn? Deltoid muscle Rectus femoris Vastus lateralis Gluteus maximus

C

A new mother asks the nurse administering erythromycin ophthalmic ointment to her newborn why her baby must be subjected to this procedure. Which is the best response by the nurse? "It will keep your baby from going blind." "This ointment will protect your baby from bright lights." "There is a law that newborns must be given this medicine." "This antibiotic helps keep babies from contracting eye infections."

D

The hepatitis B-positive mother of an infant born earlier in the day wants her infant to receive the hepatitis B immune globulin (HBIG) vaccine. Which is the proper dosage of this vaccine? 1.0 mL subcutaneously before discharge 0.5 mL subcutaneously within 24 hours of birth 1.0 mL intramuscularly within 24 hours of birth 0.5 mL intramuscularly within 12 hours of birth

D

The nurse prepares to administer vitamin K to a newborn. Which rationale explains why newborns are deficient in this vitamin? Alterations in blood coagulation interfere with vitamin K production. A newborn's liver does not produce it immediately after birth. Increased bilirubin levels interfere with vitamin K synthesis during the neonatal period. A newborn's intestinal tract does not synthesize it for several days after birth

D

Which clinical finding during labor induction requires the nurse to discontinue the oxytocin infusion? Contractions occurring every 3 minutes and lasting 60 seconds Elevation of blood pressure from 110/70 to 135/85 mm Hg over 30 minutes Rupture of membranes with amniotic fluid that contains threads of blood and mucus Several late fetal heart rate decelerations that return to baseline after the contraction is over

D

Which food would the nurse recommend to a pregnant client to most significantly increase the client's intake of folic acid? One egg Slice of bread Half a cup of corn Half a cup of cooked spinach

D

Which initial nursing action would help the postpartum client receiving methylergonovine who has a low blood pressure? Document the findings. Encourage excess increased fluid intake. Advise to stop taking methylergonovine. Notify the primary health care provider.

D

Which is the purpose of a vitamin K injection in a newborn? It promotes conjugation of bilirubin. It promotes formation of red blood cells. It prevents destruction of red blood cells. It provides protection from hemorrhage

D

A client who is receiving phenytoin asks why folic acid was prescribed. Which explanation would the nurse provide? Phenytoin inhibits absorption of folate from foods. Folic acid potentiates the action of phenytoin. Absorption of iron from foods is improved. Neuropathy caused by phenytoin is prevented.

A

A woman in premature labor is prescribed betamethasone 12 mg intramuscularly (IM) daily for 3 days to enhance fetal lung maturity. The betamethasone comes in a vial labeled "6 mg/mL." How many milliliters would the nurse administer each day?___ mL

2

A 28-year-old woman who is a smoker seeks advice about oral contraceptives. Which response by the nurse is appropriate? "Oral contraceptives can cause thrombophlebitis." "Oral contraceptives must be used with other methods." "Some oral contraceptives can be used without concern." "Some oral contraceptives are safe, but others are not safe."

A

A biphasic antiovulatory medication of combined progestin and estrogen is prescribed for a client. Which instruction would the nurse include when teaching about this oral contraceptive? "Report irregular vaginal bleeding." "Restrict sexual activity temporarily." "Have regular bimonthly Pap smears." "Increase dietary intake of calcium."

A

The nurse caring for a client receiving magnesium sulfate observes respirations of 10 breaths/minute, heart rate of 68 beats/minute, and blood pressure of 88/50 mm Hg. After discontinuing the magnesium sulfate, which priority action would the nurse take? Administer oxygen. Initiate rescue breathing. Initiate a bolus of intravenous (IV) fluid. Administer calcium gluconate.

D

The parent of a newborn asks the nurse why, except for hepatitis B vaccine, the immunization schedule does not start until the infant is 2 months old. Which response would the nurse provide? "A newborn's spleen can't produce efficient antibodies." "Infants younger than 2 months are rarely exposed to infectious disease." "The immunization will attack the infant's immature immune system and cause the disease." "Maternal antibodies interfere with the development of active antibodies by the infant when immunized."

D

.ID: 21590587950 All women of childbearing age are advised to include at least 400 μg of folic acid in the daily diet to decrease the risk of neural tube defects in pregnancy. Which foods or supplements would the nurse recommend to meet the recommendation? Select all that apply. One, some, or all responses may be correct. Vitamin A Vitamin B 6 Vitamin B 9 Vitamin B 12 Legumes, dark-green leafy vegetables, and citrus fruits Eggs, meat, and poultry

D, E

During the postpartum period, a client with heart disease and type 2 diabetes asks the nurse, "Which contraceptives will I be able to use to prevent pregnancy in the near future?" How would the nurse respond? "You may use oral contraceptives—they're almost completely effective in preventing pregnancy." "You should use foam with a condom to prevent pregnancy—this is the safest method for women with your illnesses." "The intrauterine device may be a good choice because of its high effectiveness and ease of use." "You have little to worry about regarding becoming pregnant in the near future, because women with your illnesses usually become infertile."

C

The nurse administers 2 serial intramuscular injections of betamethasone to a woman at 32 weeks' gestation admitted for preterm labor. The nurse explains to the client the medication is given to accomplish which purpose? Stop the process of labor. Increase placental perfusion. Stimulate surfactant production. Reduce intensity of contractions.

C

The nurse is counseling a 34-year-old client who has requested a prescription for oral contraceptives. Which condition would warrant additional discussion? Anemia Depression Hypertension Dysmenorrhea

C