Question 1

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.)

Accepted Answer

A)   Vital signs hourly
B)   Administration of IV pitocin
C)   Administration of magnesium sulfate IV
D)   Fetal stress test
E)   Assessment of deep tendon reflexes

Question 2

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

Accepted Answer

A)   risk for bleeding.
B)   altered body temperature.
C)   ineffective airway clearance.
D)   risk for infection. C

Question 3

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

Accepted Answer

A)   Estradiol
B)   Ergonovine
C)   Ergotamine
D)   Egophony

Question 4

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

Accepted Answer

A)   0803.
B)   0815.
C)   0830.
D)   1000.

Question 5

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?

Accepted Answer

A)   Decrease IV magnesium sulfate to half the dose and reassess the patient and fetus in 15 minutes.
B)   Stop the IV magnesium sulfate and contact the health care provider.
C)   Place the patient on her left side and administer oxygen.
D)   Stop the IV magnesium sulfate and administer calcium gluconate 5 mEq IV over 3 minutes.

Question 6

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

Accepted Answer

A)   Naloxone
B)   Calcium gluconate
C)   Dextrose
D)   Dopamine

Question 7

Which is characterized by seizures?

Accepted Answer

A)   Pregnancy-induced hypertension
B)   Preeclampsia
C)   Eclampsia
D)   Premature rupture of membranes

Question 8

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?

Accepted Answer

A)   Nifedipine (Procardia) 
B)   Furosemide (Lasix) 
C)   Magnesium sulfate
D)   Terbutaline (Brethine)

Question 9

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

Accepted Answer

A)   Nausea
B)   Constipation
C)   Fever
D)   Insomnia
E)   AchesF)  DiarrheaG)  Anorexia C,E

Question 10

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 nurse's best reply?

Accepted Answer

A)   "Your child will do well after birth once transfusions are administered."
B)   "If the baby is Rh negative at birth, he or she will need RhoGAM also."
C)   "RhoGAM kills antibodies you make, so your child will be protected."
D)   "Your baby may be Rh positive and cause you to make antibodies. These won't affect this baby but could affect future children if RhoGAM isn't given."

Question 11

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

Accepted Answer

A)   Magnesium sulfate
B)   Oxytocin (Pitocin) 
C)   Levonorgestrel (Mirena) 
D)   Terbutaline (Brethine)

Question 12

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

Accepted Answer

A)   Methylergonovine (Methergine) 
B)   Dinoprostone (Prepidil) 
C)   Betamethasone (Celestone) 
D)   Terbutaline (Brethine)

Question 13

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

Accepted Answer

A)   Silver nitrate
B)   Dexamethasone
C)   Erythromycin
D)   Vitamin K

Question 14

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

Accepted Answer

A)   Sonogram
B)   Fetal fibronectin test
C)   Amniocentesis
D)   Doppler study

Question 15

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

Accepted Answer

A)   Oxytocin (Pitocin) 
B)   Magnesium sulfate
C)   Vitamin K
D)   Dopamine

Question 16

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

Accepted Answer

A)   June 9.
B)   June 16.
C)   June 30.
D)   July 7. B

Question 17

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

Accepted Answer

A)   Blood pressure
B)   Hemoglobin
C)   Weight
D)   Fetal heart sounds
E)   Glucose tolerance test (GTT)

Question 18

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

Accepted Answer

A)   To stop uterine contractions
B)   To prevent precipitous labor
C)   To stimulate lung maturity in the fetus
D)   To stimulate prolactin to enhance breastfeeding

Exam 39: Drugs Used in Obstetrics

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.)

Correct Answer
verified

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

Correct Answer
verified
C

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

Correct Answer
verified

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

Correct Answer
verified

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?

Correct Answer
verified

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

Correct Answer
verified

Which is characterized by seizures?

Correct Answer
verified

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?

Correct Answer
verified

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

Correct Answer
verified
C,E

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 nurse's best reply?

Correct Answer
verified

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

Correct Answer
verified

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

Correct Answer
verified

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

Correct Answer
verified

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

Correct Answer
verified

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

Correct Answer
verified

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

Correct Answer
verified
B

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

Correct Answer
verified

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

Correct Answer
verified

Exam 39: Drugs Used in Obstetrics

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.)

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedC

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

Which is characterized by seizures?

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedC,E

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 nurse's best reply?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedB

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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C

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C,E

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B

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