OB Ch. 1 & 2 Review (some meds)

The nurse is monitoring a client in preterm labor who is receiving intravenous magnesium sulfate. The nurse should monitor for which adverse effects of this medication? Select all that apply. A.Flushing B.Hypertension C.Increased urine output D.Depressed respirations E.Extreme muscle weakness F. Hyperactive deep tendon reflexes

A,D,E Flushing Decreased RR Extreme muscle weakness

A client diagnosed with severe preeclampsia is receiving magnesium sulfate by continuous intravenous infusion. Which assessment finding would indicate that the medication should be discontinued? B. Respiratory rate of 16 breaths per minute C. Urinary output of 45 mL during the past hour D. Decrease in blood pressure from 180/100 mm Hg to 150/90 mm Hg

A. Absence of deep tendon reflexes

What is the name for families in which children live with two unmarried biologic parents or two-adoptive parents? A. Cohabiting-parent families B. Multigenerational Families C. Mixed biologic families D. Coparenting Families

A. Cohabiting-parent families

Butorphanol tartrate by intravenous push is prescribed for a client in labor. The nurse recognizes which assessment findings to be side or adverse effects of this medication? Select all that apply. A. Tinnitus B. Syncope C. Bradycardia D. Palpitations E. Increased thirst F. Nausea and vomiting

A. Tinnitus B. Syncope D. Palpitations F. Nausea and vomiting

The nurse asks a nursing student to describe the procedure for administering erythromycin ointment to the eyes of a newborn. Which student statement indicates that further teaching is needed about administration of the eye medication? A. "I will flush the eyes after instilling the ointment." B. "I will clean the newborn's eyes before instilling ointment." C. "I need to administer the eye ointment within 1 hour after delivery." D. "I will instill the eye ointment into each of the newborn's conjunctival sacs."

A."I will flush the eyes after instilling the ointment."

________________ refers to the changes that occur within one group or among several groups when people from different cultures come into contact with one another.

Acculturation

Name the 4 organizations that have described standards of practice in perinatal and women's health nursing.

American Nurses Association (ANA) The Association of Women's Health, Obstetrics and Neonatal Nurses (AWHONN) The American College of Nurse Midwives (ACNM) National Association of Neonatal Nurses (NANN)

Which choices are within the 4 goals of healthy people 2020? (Select all that apply ) A. Achieving health and nutrition knowledge in efforts to decrease health risks and disparities. B. Creating social and physical environments that promote good health for all. C. Attaining high- quality, longer lives free of preventable disease, disability, injury and premature death. D. Achieving health equity so that all individuals have the opportunity to have healthy development and healthy behaviors across the globe.

B, C

What is the name for the organization known for recognizing the multifaceted causes of medical errors? A. National Quality Forum (NQF) B. Agency for Healthcare Research and Quality (AHRQ) C. Safe Practices for Better Healthcare (SPBH) D. Agency of Reportabe Healthcare Events (ARHE)

B. Agency for Healthcare Research and Quality (AHRQ)

A client in preterm labor (31 weeks) who is dilated to 4 cm has been started on magnesium sulfate and contractions have stopped. If the client's labor can be inhibited for the next 48 hours, the nurse anticipates a prescription for which medication? A. Nalbuphine B. Betamethasone C. Rho(D) immune globulin D. Dinoprostone vaginal insert

B. Betamethasone

Methylergonovine is prescribed for a woman to treat postpartum hemorrhage. Before administration of methylergonovine, what is the priority assessment? A. Uterine tone B. Blood pressure C. Amount of lochia D. Deep tendon reflexes

B. Blood Pressure

An alternative therapy that consists of infusing intravenous substances to remove calcium and heavy metals from hardened arteries is what ? A. Integration Therapy B. Intraarterial Therapy C. Chelation Therapy D. Visceral Therapy

C. Chelation therapy

The nurse gave an intramuscular dose of methylergonovine to a client following delivery of an infant. The nurse determines that this medication had the intended effect if which finding is noted? A. Decreased pulse rate B. Increased urine output C. Improved uterine tone D. Increased blood pressure

C. Improved uterine tone

A family formed as a result of divorce and remarriage that consists of unrelated family members who join to create a new household is termed as.... A. Cohabiting-parent families B. Multigenerational Families C. Married-blended families D. Coparenting Families

C. Married-blended families

A client in preterm labor is being started on intravenous magnesium sulfate to stop the contractions. Several hours later, when the nurse is performing an assessment, the following data are obtained: blood pressure 110/66 mmHg, pulse 66 beats per minute, respirations 10 breaths per minute, and deep tendon reflexes absent. What should the nurse do next? A. Institute seizure precautions. B. Prepare for a precipitous delivery. C. Prepare to administer calcium gluconate as an antidote for magnesium toxicity. D. Increase the rate of magnesium sulfate, as the desired outcome has not yet been achieved.

C. Prepare to administer calcium gluconate as an antidote for magnesium toxicity.

1. understanding the individual's language, including subtle variations in meaning and distinctive dialects 2. Appreciating individual differences in interpersonal style 3. Accurately interpreting the volume of speech as well as the meanings of touch and gestures... these are 3 aspects of ______________

Communication

Rho(D) immune globulin is prescribed for a client after delivery and the nurse provides information to the client about the purpose of the medication. The nurse determines that the woman understands the purpose if the woman states that it will protect her next baby from which condition? A. Having Rh- positive blood B. Developing a rubella infection C. Developing physiological jaundice D. Being affected by Rh incompatibility

D. Being affected by Rh incompatibility

On assessment, a newborn is exhibiting cyanosis, tachypnea, nasal flaring, and grunting. Respiratory distress syndrome is diagnosed, and the health care provider (HCP) prescribes surfactant replacement therapy. Through which route should the nurse prepare to administer this medication? A. Orally mixed in water B. Intravenously through a burette C. Subcu in the anterior thigh D. Endotracheally through the endotracheal tube

D. Endotracheally through the endotracheal tube

Methylergonovine is prescribed for a client with postpartum hemorrhage. Before administering the medication, the nurse should contact the health care provider who prescribed the medication if which condition is documented in the client's medical history? A. Hypotension B. Hypothyroidism C. Diabetes mellitus D. Peripheral vascular disease

D. Peripheral vascular disease

The nurse performs an assessment of a pregnant woman who is receiving intravenous magnesium sulfate for management of preeclampsia and notes that the woman's deep tendon reflexes are absent. On the basis of this finding, the nurse should make which interpretation? A. The magnesium sulfate is effective. B. The infusion rate needs to be increased. C. The woman is experiencing cerebral edema. D. The woman is experiencing magnesium excess.

D. The woman is experiencing magnesium excess.

The view that one's own way of doing things is best is known as

Ethnocentrism

When using the CFAM, all questions within the subcategories must be asked for accuracy and for completion of the assessment. T or F

F Some of the questions may not be appropriate for all families

____________ ____________ involves a spectrum of abilities, ranging from reading an appointment slip to interpreting medication instructions .

Health literacy

The most significant barrier to access to care is the _____________ ____ _________

Inability to pay

Term: _______________ health care encompasses complementary and alternative therapies in combination with conventional Western Modalities of treatment

Integrative

Name the 3 major categories of the Calgary Family Assessment Model (CFAM)

Structural, Developmental, Functional

Term: A group existing within a larger cultural system that retains its own characteristics

Subculture

A careful medication history is obtained to see if the woman is taking her medications correctly and understands what 2 things about them?

desired action potential side effects