pharmacology maternity Hesi final evolve

The primary healthcare provider has prescribed 500 mg of cephalexin by mouth every 6 hours for 10 days for a client with mastitis. The primary healthcare provider has given the client 24 sample tablets of 250 mg apiece. How many days should this supply last? Record your answer using a whole number. ____ days

3 days

Iron supplementation is prescribed for a postpartum client. The nurse tells her which liquid she should drink with her iron supplement. What drink does the client select that indicates that the instruction is understood?

Cranberry juice

A nurse is planning to administer Rhogam (Rh immune globulin). Which situation requires the administration of this medication?

Rh-negative woman who has had an amniocentesis

A pregnant client with iron-deficiency anemia is prescribed iron supplements daily. To help the client increase iron absorption, the nurse should suggest that the client eat foods high in which substance?

Vitamin C

A nurse teaches a client with asthma about her illness during pregnancy. Which statement by the client indicates that the nurse's teaching has been effective?

"I can use my albuterol inhaler if it's absolutely necessary."

A client who is at 33 weeks' gestation has contracted gonorrhea and is prescribed probenecid and penicillin. What instructions will the nurse give to the client regarding the reason for dual therapy?

"The amount of penicillin in your blood is increased."

A pregnant client states to the nurse, "I have been advised to take an over-the-counter medication for the flu. The drug label says it is a category B drug." How should the nurse respond to these statements?

"This drug does not show risks to an animal fetus so you can safely take it while pregnant."

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. What is the proper dosage of this vaccine?

0.5 mL intramuscularly within 12 hours of birth

Which gestational period is appropriate for the administration of corticosteroids during preterm labor?

24 to 34 weeks

A client at 31 weeks' gestation is admitted in preterm labor. What class of drugs might the nurse anticipate being prescribed?

A beta-adrenergic

A client with systemic lupus erythematosus (SLE) is at 39 weeks' gestation. What does the nurse anticipate regarding this client?

A need to discontinue the client's salicylate therapy

At 12 weeks' gestation a client who is Rh negative expels the total products of conception. What is the nursing action after it has been determined that she has not been previously sensitized to Rh-positive red blood cells?

Administering Rho(D) immune globulin within 72 hours

Oral contraceptives are prescribed for a client who smokes heavily. What side effect should the nurse warn the client might occur?

Blood clots

A client who is visiting the family planning clinic is prescribed an oral contraceptive. As part of teaching, the nurse plans to inform the client of the possibility of which adverse effect?

Breakthrough bleeding

A nurse is caring for a client who was admitted with the diagnosis of severe preeclampsia and is now receiving an intravenous infusion of magnesium sulfate. What is the classification of this medication?

Central nervous system depressant

A pregnant woman reports night sweats, sleep disturbances, and weight gain. Upon diagnosis, the woman has low levels of estrogen and is treated with hormonal therapy. Which teratogenic effect is likely to occur in the newborn?

Congenital defects of the female reproductive system

A nurse assesses a client in the labor room and finds that the client's Bishop score for her cervical status is 6. Which medication may be administered to this client?

Dinoprostone

A pregnant client has labor pains. However, the nurse finds that the client's cervix is not dilated. Which drug should be administered to the client to promote labor?

Dinoprostone

A nurse discusses the type of anesthesia that will be used for a vaginal birth with a client who has class I cardiac disease. Which type of block is most appropriate for this client?

Epidural

A nurse is caring for an obese client in early labor. The anesthesiologist discusses several types of analgesia and anesthesia with the client and recommends one. Which type has the anesthesiologist recommended?

Epidural anesthesia

A woman reports weight gain and hot flashes. The client is also found to have low estrogen levels. Which drug may be prescribed to alleviate hot flashes?

Estradiol

An alcoholic mother gave birth to a baby who had alcohol dependency. Which nursing intervention would be helpful in managing alcohol dependency in the baby?

Give reduced doses of alcohol to overcome drug dependency

A pregnant client with severe preeclampsia is receiving an infusion of magnesium sulfate. What does the nurse identify as the main reason that this medication is administered?

It acts as an anticonvulsant.

Which drug would be least likely observed in the prescription of a client with severe hypotension who is managing preterm labor?

Nifedipine

A client is prescribed uterine stimulants to augment labor. Which condition should be assessed in the client before initiating therapy?

Pelvic inflammatory disease

A client with severe preeclampsia is receiving magnesium sulfate therapy. What is the priority nursing assessment as the nurse monitors this client's response to therapy?

Respiratory rate

A primary healthcare provider prescribes an intravenous infusion of magnesium sulfate for a client with preeclampsia. What baseline assessment is essential before the nurse initiates the infusion?

Respiratory rate

A woman with chronic asthma discontinues her medication during pregnancy. Which condition is likely to occur in the newborn?

Stillbirth

Which drug may cause tooth and bone anomalies as a teratogenic effect?

Tetracycline

A baby was born with shortened limbs. Which drug treatment may have been given to the mother during her gestation?

Thalidomide

In which clinical situation would cervical ripening drugs be prescribed to pregnant women?

The cervical status indicates a Bishop score of 6

A client has been receiving oxytocin to augment labor. For what adverse reaction caused by a prolonged oxytocin infusion should the nurse monitor the client?

Water intoxication

A pregnant woman is administered medication to treat preterm labor that requires a prescription for calcium gluconate to counter the effects of the drug. Which drug was administered?

Magnesium sulfate

A woman has been administered oxytocin to induce labor. After delivery, the woman complains of tiredness and feels a spinning sensation. Which effect of oxytocin can be inferred from these symptoms?

Hypotension

The nurse is caring for a client who has just received epidural anesthesia. The nurse will monitor for which adverse effects?

Hypotension

The nurse is caring for a laboring client who just received an epidural block. What is the major adverse effect for which the nurse should observe?

Hypotension

What is an important nursing intervention when a client is receiving intravenous (IV) magnesium sulfate for preeclampsia?

Maintaining a quiet, darkened environment

A client at 38 weeks' gestation is admitted to the prenatal unit with preeclampsia. A loading dose of magnesium sulfate is administered, and the dosage is subsequently lowered to a maintenance dosage. What is the most important parameter for the nurse to assess while monitoring the client for magnesium sulfate toxicity?

Patellar reflex

A woman receiving treatment with topiramate gives birth to a newborn with a cleft lip and cleft palate. Which Food Drug Administration (FDA) Pregnancy Risk category of pregnancy does the drug belong?

D

Which drug would place a client's offspring at risk for vaginal cancer?

Diethylstilbestrol

Which tocolytic agent can be used safely without combining with other agents to inhibit labor and maintain a pregnancy?

Nifedipine

A nurse assesses a primigravida who has been in labor for 5 hours. The fetal heart rate tracing is reassuring. Contractions, which are of mild intensity, are lasting 30 seconds and are 3 to 5 minutes apart. An oxytocin (Pitocin) infusion is prescribed. What is the priority nursing intervention at this time?

Infusing oxytocin by piggybacking into the primary line

A client with stage 4 ovarian cancer is admitted for dehydration. The client is to receive an intravenous (IV) bolus of 500 mL D5W for 1 hour, after which the rate is to be changed to 150 mL/hr. The drop factor is 15 gtt/mL. At what rate, in drops per minute, should the nurse regulate the IV after delivery of the 500-mL bolus?

38

A client with hypertension has labor pains before the 35th week of gestation. Which pharmacologic intervention does the nurse anticipate to be beneficial for this client?

Administer magnesium sulfate

The nurse is explaining insulin needs to a client with gestational diabetes who is in her second trimester of pregnancy. Which information should the nurse give to this client?

Insulin needs will increase during the second trimester

A nurse is caring for a client who is being given intravenous magnesium sulfate to treat preeclampsia. Which effect alerts the nurse to notify the primary healthcare provider?

Urine output of less than 100 mL in 4 hours

A client who has been taking oral contraceptives for 3 months arrives at the clinic and tells the nurse that she has breakthrough bleeding between menstrual cycles. For what causative factor should the nurse first assess the client ?

Nonadhereance to protocol

A pregnant woman is diagnosed with intrauterine fetal death. What would be the drug of choice for labor induction?

Dinoprostone

A 30-week-pregnant woman reports low backache and abdominal cramps. Which drug may be prescribed if the client is suspected of having preterm labor?

Magnesium sulfate

Which drug is available in an injectable form?

Pitocin

Which drug does the nurse anticipate to be prescribed to a client seeking treatment for infertility?

Clomiphene

Which statement regarding transdermal estradiol is true?

Estradiol is slowly absorbed from skin.

A nurse is teaching a female client about the side effects of estrogen in an oral contraceptive. Which common side effect identified by the client indicates to the nurse that the teaching was effective?

Nausea

A baby was born with a single-lobed brain and also had neural tube defects. Which drug treatment in the client during her gestation might have caused this condition?

Simvastatin

A nursing student documents teratogens and its effects on fetuses. Which information needs correction?

Client 4 (absence of eyeball)

A woman who is infertile is diagnosed with primary ovarian failure. Which fertility drug regimen may be prescribed to treat infertility?

Estrogens and progestins

Which drug should be excluded from the prescription for a client undergoing treatment for infertility?

Methyldopa

A client who underwent treatment for infertility gave birth to triplets. She often complained of breast pain during the infertility treatment. Which drug may have been administered to the client for infertility treatment?

Clomiphene

Which nursing assessment is important to recognize to determine the causative factors in a client with a history of spontaneous abortions?

History of alcohol consumption

A pregnant woman at risk of preterm labor is diagnosed with hypertension. Which drug should be administered?

Magnesium sulfate

A nurse is caring for a pregnant client who has contracted a trichomonal infection. Which oral drug should the nurse anticipate that the primary healthcare provider will most likely prescribe?

Metronidazole

Which drug should be excluded from the prescription of a lactating mother being treated for heart problems?

Tenormin

A pregnant woman who reports confusion and jerky arm movements is diagnosed with epilepsy and treated with antiepileptic drugs. Which physiologic change in the drug metabolism would the nurse expect in this client?

There will be an increased hepatic metabolism

During labor a client who has been receiving epidural anesthesia has a sudden episode of severe nausea, and her skin becomes pale and clammy. What is the nurse's immediate reaction?

Turning the client on her side

A pregnant client was exposed to a teratogen in her tenth week of gestation. Which nursing intervention should be provided?

Assure the client that the risk of malformation is minimal

The nurse reviews a female client's prescription and informs the client that there could be a risk of multiple pregnancies. Which drug might have been prescribed to the client?

Clomiphen

A woman reports irregular menses, back pain, and weight gain. Upon diagnosis, the woman has low levels of estrogen and progesterone. Which drug may be prescribed if the woman wants to conceive?

Clomiphene

An ultrasound scan of a 7-month-pregnant woman indicates fetal death. Which drug should be given to the client to evacuate the contents of the uterus?

Dinoprostone

Ten minutes after administering nalbuphine (Nubain) via IV piggyback to a primigravida in active labor, the nurse notes a fetal heart rate of 132 with minimal variability. The client states that the pain is more tolerable and she is able to use her breathing techniques more effectively. Contractions continue every 2 to 3 minutes and are of 60 seconds' duration. What is the nurse's next action?

Document the findings, including the stable fetal heart rate variability after administering the opioid infusion.

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 that it is routinely administered to prevent what type of infection?

Gonorrhea

A lactating woman has developed thromboembolism. Which drug should be prescribed if she wishes to continue breast-feeding?

Heparin

A client undergoing treatment for a medical condition gave birth to a baby with renal failure as a result of the teratogenic effect of the medications. Which medical condition is the client likely getting treated for?

Hypertension

A lactating woman takes fluoxetine to treat depression. Her newborn developed tremors, seizures, and fever. Which drug-induced physiologic alterations may be responsible for the central nervous system effects of the drug on the neonate?

Immature blood-brain barrier

A client who wishes to postpone having children until she and her husband are financially secure tells the nurse she has been taking oral contraceptive pills for several years. What finding indicates a potential risk in regard to continued use of birth control pills?

Increased blood pressure

A 29-week-pregnant woman is found to have uterine contractions. Which medication does the primary healthcare provider prescribe?

Indomethacin

A lactating woman is diagnosed with migraine headaches. What drug should be prescribed to the client if she wishes to continue breast-feeding?

Sumatriptan

A preterm infant is receiving an intravenous electrolyte solution at a rate of 20 mL/hr by way of an umbilical arterial line. At the hourly intake measurement, the nurse observes that 40 mL has infused in the past hour. What is the nurse's first intervention?

Taking the vital signs

A client who has a habit of smoking is on estrogen therapy. What condition is the client at risk of developing?

Thrombosis

Which drug is used to counteract drug toxicity caused by magnesium sulfate in preterm labor management?

Calcium gluconate

Which type of drugs readily crosses the placenta?

Lipid-soluble drugs

After breast cancer is diagnosed, the client decides on a modified radical mastectomy followed by a combination therapy protocol that includes doxorubicin. What assessment finding does the nurse recognize as a toxic effect of this drug?

Cardiac dysrhythmias

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?" How should the nurse respond?

"Newborns are deficient in vitamin K. This treatment will ensure adequate levels."

A pregnant client who is Rh negative visits the prenatal clinic during the first trimester of pregnancy. She is informed by the primary healthcare provider that Rh sensitization is suspected and that Rho(D) immune globulin eventually will be given. At what week of gestation should the nurse explain that the medication will be administered?

28 weeks

A nurse is reviewing a postmenopausal client's history, which reveals that the client previously received hormonal therapy (HT) as treatment for osteoporosis. The nurse recognizes that HT increases the risk of which condition?

Breast cancer

A pregnant women at 29 weeks is found to have an increased volume of amniotic fluid and an increase in blood pressure. Which initial nursing actions is appropriate?

Notify the primary healthcare provider

A nurse is caring for a pregnant woman in active labor who is lying in bed in the high Fowler position. Epidural anesthesia and an oxytocin infusion were started 45 minutes ago. The client complains of feeling lightheaded and nauseated. What should the nurse do first after reviewing the client's admission data, vital signs, and current status?

Place the client in a 15-degree side-lying position.

An ultrasound scan of a baby shows that the proximal tubule in the kidney is not well developed. Which drug treatment in the mother during her pregnancy might have caused this condition in the baby?

Angiotensin-converting enzyme inhibitors

A nurse is caring for a client in labor whose cervix is dilated 6 cm. The client is receiving epidural analgesia. What common response to regional anesthesia does the nurse anticipate?

Lightheadedness

Which drug impairs fertility when administered along with fertility drugs?

Promethazine

Before the administration of Rho(D) immune globulin, the nurse reviews the laboratory data of a pregnant client. Which blood type and Coombs test result must a pregnant woman have to receive Rho(D) immune globulin after giving birth?

Rh negative and Coombs negative