Care of Childbearing Families Pharmacological and Parenteral Therapies During Childbearing
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Question 1 |
The nurse is assessing the female client who is taking clomiphene. Which finding should indicate to the nurse that the client is experiencing an adverse effect of the medication?
A | Pelvic pain |
B | Nipple discharge |
C | Weight gain |
D | Watery diarrhea |
Question 2 |
The newborn is to receive phytonadione. Which statement, if made by the newborn’s mother, indicates that she understands the nurse’s teaching about the medication?
A | “Phytonadione prevents my newbom from developing jaundice.” |
B | “Phytonadione will decrease the risk of my newborn bleeding.” |
C | “Phytonadione will be given by dropper when my newborn first eats.” |
D | “Phytonadione protects the eyes from gonorrhea or chlamydia infections.” |
Question 3 |
The newborn is prescribed to receive routine immunizations per written hospital protocol. Which immunization should the nurse plan to administer?
A | Mumps, measles, and rubella (MMR) |
B | Influenza |
C | Hepatitis B |
D | Rotavirus |
Question 4 |
The nurse is caring for the newbom. Which assessment finding should the nurse expect after administering naloxone?
A | Decreased irritability |
B | Meconium stool |
C | Normal temperature |
D | Improved respiratory effort |
Question 5 |
The nurse is caring for the infant whose mother has tested positive for hepatitis B surface antigen. The nurse is preparing to administer the hepatitis B vaccine to the infant. To prevent infection, which medication should the nurse administer along with the hepatitis B vaccine?
A | Acyclovir |
B | Ceftriaxone |
C | Acetaminophen |
D | Immune serum globulin (ISG) |
Question 6 |
The postpartum client experiencing uterine atony is to receive carboprost tromethamine. Due to the medication side effects, what should the nurse plan to give to the client?
A | A sedative |
B | A stool softener |
C | An antiemetic |
D | Extra oral fluids |
Question 7 |
The nurse is caring for the postpartum client. Which assessment finding should prompt the nurse to conclude that the administration of carboprost tromethamine has been effective?
A | Reduction of fever |
B | Stable blood pressure (BP) |
C | Increased comfort |
D | Decreased lochia rubra |
Question 8 |
The breastfeeding postpartum client is reporting afterpains and requests pain medication. Which medication is best for the nurse to select to prevent adverse effects on her breastfeeding infant?
A | Meperidine |
B | Naproxen |
C | Ibuprofen |
D | Acetaminophen |
Question 9 |
The HCP is preparing to administer sterile water injections to decrease the laboring client’s back pain. The nurse would prepare the client to receive the injections by which administration route?
A | Intravenously into the lactated Ringer’s solution |
B | Subcutaneously into the tissue on her abdomen |
C | Intradermally into her lower lumbar-sacral area |
D | Intramuscularly into her posterior dorsal-gluteal muscle |
Question 10 |
The nurse is caring for the infant diagnosed with PDA. By which route should the nurse expect to administer indomethacin?
A | Intravenously (IV) |
B | Orally |
C | Rectally |
D | Intramuscularly (1M) |
Question 11 |
The nurse is caring for the client who is 1 hour postpartum. Which vital sign should the nurse check before administering methylergonovine 1M?
A | Oral temperature |
B | Respiratory rate |
C | Apical heart rate |
D | Blood pressure |
Question 12 |
The infant of a diabetic mother is receiving DID/0.2 NS IV through a peripheral vein to manage blood glucose levels. After examining the infant, the HCP tells the nurse to change the solution to D12.5/0.2 NS. Which action by the nurse is most important?
A | Telephone pharmacy to get the newly prescribed IV solution. |
B | Check a blood glucose level before starting the new solution. |
C | Discuss the situation immediately with the health care provider. |
D | Increase the IV rate until the new bag is obtained from pharmacy. |
Question 13 |
The pregnant client received a dinoprostone insert. The nurse determines that the client had the desired therapeutic response when obtaining which assessment finding?
A | Deep tendon reflexes of 2+ |
B | Fetal heart rate of 130 beats per minute |
C | Uterine contractions every 4 minutes |
D | Blood pressure of 120/ 80 mm Hg |
Question 14 |
The nurse in a large urban hospital is admitting a 2-hour-old infant whose mother is positive for HIV. The infant is to receive zidovudine. Which laboratory tests should the nurse analyze before administering the medication?
A | Complete blood count (CBC) with differential and prothrombin time (PT) |
B | Cluster of differentiation 4 (CD4) count, CBC, and lactate |
C | CBC with differential and alanine aminotrans- ferase (ALT) |
D | CBC, CD4 count, ALT, and serum protein |
Question 15 |
The client who is 2 days post—cesarean birth has all of following prescribed medications. Which medication should the nurse administer when the client reports painful ulcerations on the perineum?
A | Ritonavir |
B | Zidovudine |
C | Acyclovir |
D | Lamivudine |
Question 16 |
The nurse is caring for the client who is receiving magnesium sulfate IV to treat severe preeclampsia. When reviewing the client’s serum magnesium levels, which value should the nurse conclude is therapeutic?
A | 0.5 mg/dL |
B | 2 mg/dL |
C | 6 mg/dL |
D | 10.1 mg/dL |
Question 17 |
A 6-day-old infant is to receive nystatin to treat adherent white patches on the tongue, palate, and inner aspect of the cheeks. Which most irnportant information should the nurse teach the parent about nystatin?
A | Look in the infant’s mouth for signs of improvement. |
B | Check the infant’s skin for signs of contact dermatitis. |
C | Have the infant “swish” nystatin before swallowing. |
D | Adverse effects include nausea, vomiting, and diarrhea. |
Question 18 |
The client, who is 8 weeks pregnant, tells the nurse that she wants to try an herbal or natural remedy for treating her nausea. Which herb should the nurse suggest?
A | Ginger |
B | Milk thistle |
C | Black cohosh |
D | Echinacea |
Question 19 |
The nurse is assessing the client with severe preeclampsia who has been receiving IV magnesium sulfate for 24 hours. The nurse should conclude that the medication is effective in treating preeclampsia when obtaining which finding?
A | An increase in blood pressure |
B | An increase in urine output |
C | A decrease in platelet count |
D | An increase in hematocrit |
Question 20 |
The client who is 28 weeks pregnant and experiencing heartburn is prescribed to take omeprazole. The nurse educating the client about omeprazole should explain that it reduces heartburn by which action?
A | Blocks the action of the enzyme that generates gastric acid |
B | Blocks the H2 receptor located on the parietal cells of the stomach |
C | Neutralizes the gastric acid in the stomach |
D | Coats the upper stomach and esophagus to decrease irritation from stomach acid |
Question 21 |
The nurse receives medication orders for the client who is 28 weeks pregnant and experiencing CHF. Which medication should be clarified with the HCP before administration?
A | Furosemide 40 mg IV bid |
B | Captopril 25 mg PO daily |
C | Digoxin 0.125 mg IV daily |
D | Metoprolol SR 50 mg PO daily |
Question 22 |
While adding oxytocin to a bag of solution, a 30-year—old nonpregnant female nurse pokes her finger with the needle and then injects some of the oxytocin into her body. The nurse immediately goes to the agency’s health service. Which treatment should the nurse expect in addition to the care of the clean needlestick injury?
A | Subcutaneous terbutaline to relax her uterus |
B | Ibuprofen for uterine cramping |
C | No additional treatment measures |
D | Teaching to limit free water intake for 24 hours |
Question 23 |
Benazepril is added to the antihypertensive medication regimen of an African American client who is 30 weeks pregnant. Which nursing intervention is most important?
A | Withhold the benazepril and contact the HCP. |
B | Monitor for a diminished effect in lowering her BP. |
C | Notify the HCP if the serum bilirubin level increases. |
D | Notify the HCP if the serum potassium level increases. |
Question 24 |
The nurse is assessing a newly pregnant Client. Which finding indicates that the client may need iron supplementation?
A | Gave birth a year ago |
B | Over 35 years of age |
C | First pregnancy |
D | Primary infertility |
Question 25 |
Prior to assisting with an external cephalic version on the client who is 38 weeks’ gestation, the nurse is preparing to administer terbutaline sulfate subcutaneously. Which explanation about the medication should the nurse provide to the client?
A | “Terbutaline will decrease uterine sensation.” |
B | “Terbutaline will relax your uterus.” |
C | “Terbutaline will cause you to feel sleepy.” |
D | “Terbutaline will stimulate labor contractions.” |
Question 26 |
The nurse assesses the client in labor at 39 weeks’ gestation receiving epidural anesthesia. Which findings require immediate nursing intervention because the client may be experiencing symptoms of IV injection?
A | Nausea and increased alertness |
B | Irritability and hypotension |
C | Tinnitus and a metallic taste |
D | Headache and loss of hearing |
Question 27 |
The nurse assesses the client who is at 40 weeks’ gestation before administering misoprostol 25 mcg per vagina one time as prescribed. Which question would be most important for the nurse to ask this client before administering misoprostol?
A | At what time did you eat your breakfast? |
B | Have you had a previous cesarean birth? |
C | When did you last request an analgesic? |
D | Have you emptied your bladder recently? |
Question 28 |
The nurse receives HCP orders for four inpatient clients to insert dinoprostone for cervical ripening. The nurse should question the order for which client?
A | Client A, GIPOOOO, who is 41 weeks’ gestation |
B | Client B, G5P4004, who is at 40 and 4/7 weeks" Gestation |
C | Client C, G1P0000, type 1 diabetic who is 38 weeks’ gestation and has fetal macrosomia |
D | Client D, G2P1001, at 40 weeks’ gestation delivering vaginally after a previous cesarean birth |
Question 29 |
Prior to delivery, the client had prolonged rupture of her membranes. Since delivery 48 hours ago, she has been receiving IV cefotaxime. Which outcome would be most important for the nurse to establish?
A | Moderate amount of lochia rubra |
B | Absence of high fever |
C | Voiding in good quantities |
D | Large, soft bowel movement |
Question 30 |
The postpartum client, who just delivered a full-term infant, tells the nurse she is concerned about her Rh-negative status. She says that she received Rho(D) immune globulin (RhoGAM) during her pregnancy, and she wonders if she is going to need it again- Which statement, if made by the nurse, is correct?
A | “You will be given RhoGAM within the next 72 hours.” |
B | “Since you already had RhoGAM, you won’t need it again.” |
C | “One dose of RhoGAM will last you for your lifetime.” |
D | “You will need RhoGAM if your newbom is Rh-positive.” |
Question 31 |
The pregnant client presents to a clinic with a white, cottage cheese—like vaginal discharge, itching, and vulvar redness. The nurse should pre- pare to teach the client about which appropriately prescribed medication?
A | Metronidazole 250 mg orally bid for 1 week |
B | Butoconazole vaginal cream once at bedtime |
C | Imidazole vaginal cream daily for 1 week |
D | Fluconazole 150 mg by mouth once |
Question 32 |
The nurse is checking the medical records of second-trimester clients for newly prescribed medications. The nurse should contact the HCP regarding incomplete information for which prescription?
A | Methyldopa 250 mg bid by mouth for elevated BP |
B | MgSO4 5 g IM for BP >160/90 mm Hg X 2 readings |
C | Terbutaline 5 mg q6h by mouth for preterm labor |
D | Prenatal vitamins one tablet daily by mouth |
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