Women's Health Pharm Chapter 6

1. A pregnant woman is experiencing nausea and vomiting in her first trimester of pregnancy. Which herbal agent has traditionally been used as an antiemetic? A. Ginger B. Garlic C. Ginkgo biloba D. Green tea

A

14. A woman was administered misoprostol (Cytotec) 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? A. Four hours must elapse after the dose of misoprostol B. The woman must have a type and cross-match performed C. The woman must receive a bolus of 500-mL normal saline D. The woman must have her electrolytes measured

A

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

A

9. A pregnant woman states that she has been constipated since becoming pregnant. Which medication is most appropriate for preventing constipation related to pregnancy? A. Metamucil B. Mineral Oil C. Saline cathartic D. Stimulant cathartic

A

16. 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. A. Absence of sperm B. Endometriosis C. Vaginitis D. Blocked fallopian tubes E. Fibromyalgia

A,B,D

13. A patient is receiving oxytocin (Pitocin). Which of the following is a maternal adverse effect of Pitocin? A. Acute confusion B. Hypertension C. Edema D. Inverted T wave

B

2. 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? A. "Folic acid prevents the development of contractions." B. "Folic acid prevents neural tube birth." C. "Folic acid builds strong fetal bones." D. "Folic acid will decrease nausea and vomiting."

B

5. 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? A. Metoprolol (Lopressor) B. Calcium Gluconate C. Potassium chloride D. Furosemide (Lasix)

B

8. When administering magnesium sulfate, for what should the nurse assess the patient? A. Dry, pale, skin B. Respiratory depression C. Agitation D. Tachycardia

B

4. A woman who began labor several hours ago is to be administered oxytocin. What is the goal of oxytocin therapy? A. Prevent postpartum bleeding B. Decrease fetal hyperactivity C. Augment weak or irregular contractions D. Diminish periods of relaxation

C

10. A woman who is 7 months pregnant is waking up at night with gastroesophageal reflux. Which of the following medications is most highly recommended? A. Terbutaline (Brethine) B. Diphenoxylate (Lomotil) C. Ranitidine (Zantac) D. Chlorthiazide (Diuril)

C

11. A woman who takes highly active antiretroviral therapy (HAART) for HIV/AIDs has become pregnant. What effect will the woman's pregnancy have on her drug regimen? A. She must discontinue HAART due to the risk of teratogenic effects B. Her dosages of HAART must be increased to reduce the risk of in utero transmission C. She can continue her HAART unchanged. D. Some components of her HAART must be replaced or discontinued.

C

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

C

18. 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? A. During the second half of her third trimester B. In the 7 to 10 days after conception C. In the first trimester during organogenesis D. During 30 to 34 weeks of gestation

C

3. A woman is being administered IV magnesium sulfate. What is a desired outcome related to the administration of magnesium sulfate? A. Increased contractions B. Respiratory rate above 18 C. Decreased blood pressure D. Increased uterine tone

C

12. A woman is at 42 weeks of gestation. Which of the following medications will be administered to promote cervical ripening? A. Calcium gluconate B. Magnesium sulfate C. Terbutaline (Brethine) D. Dinoprostone (Cervidil)

D

15. A patient is being treated for preterm labor. Which beta-adrenergic medication is administered orally to decrease uterine contractions? A. Magnesium sulfate B. Oxytocin (Pitocin) C. Nifedipine (Procardia) D. Terbutaline (Brethine)

D

19. 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 medications while breast-feeding? A. Very few medications are explicitly contraindicated while breast-feeding B. It is generally safer to use herbs rather than medications while breast-feeding C. Most women can resume their pregnancy medication regimen after delivery D. Most medications are contraindicated while woman is breast-feeding

D

6. A patient is being administered magnesium sulfate for preterm labor. The patient's serum magnesium level is elevated at 11 mg/dL. With what sign or symptom will the patient likely present? A. Tachypnea B. Muscle rigidity C. Tachycardia D. Depressed deep tendon reflexes

D

7. A woman in preterm labor has been administered terbutaline sulfate (Brethine). For what potential adverse effects should the nurse assess the patient? A. Pruritus (Itching) and copious diaphoresis B. Joint pain and numbness in her extremities C. Headache and visual disturbances D. Palpitations and shortness of breath

D