Deck 52: Drugs for Labor and Delivery

Question 1

The client who wishes to bottle feed her new infant asks the nurse about medications that can be used to suppress lactation.Which of the following drugs does the nurse recall can be used for this purpose?

A) Dinoprostone (Prepidil)
B) Bromocriptine (Parlodel)
C) Ergonovine (Methergine)
D) Ritodrine (Yutopar)

Answer 1

Bromocriptine (Parlodel)

Question 2

A client is beginning drug therapy with ritodrine (Yutopar).The nurse explains to the client that the goal of drug therapy is to stop uterine contractions for at least how long?

A) 18 to 24 hours
B) 24 to 48 hours
C) 48 to 72 hours
D) 72 to 96 hours

Answer 2

48 to 72 hours

Question 3

The nurse monitors the client's fluid and electrolyte status while administering oxytocin (Pitocin)for early detection of which of the following?

A) Hypernatremia
B) Hyperkalemia
C) Hypochloremia
D) Hypermagnesemia

Answer 3

Hypochloremia

Question 4

The nurse assesses a client who received a dinoprostone (Cervidil)suppository for which of the following most common adverse effects?

A) Hypothermia
B) Tachycardia
C) Headache
D) Hypotension

Question 5

The nurse would prepare to give a scheduled dose of methylergonovine (Methergine)to a client with which of the following problems?

A) Premature labor
B) Threatened abortion
C) Difficulty with lactation
D) Postpartum hemorrhage

Question 6

The nurse would plan to administer dinoprostone (Prepidil)as ordered to a client for which of the following circumstances?

A) Premature labor
B) Termination of pregnancy
C) Postpartum hemorrhage
D) Accelerated labor

Question 7

A client is beginning oral drug therapy with ergonovine (Ergotrate).The nurse evaluates that the client understands drug therapy when the client states that she will need to take the drug for approximately how many days?

A) One
B) Two
C) Four
D) Seven

Question 8

The client who is receiving ergonovine (Methergine)therapy needs to be closely monitored for which of the following adverse effects?

A) Paresthesia
B) Cerebral anoxia
C) Bradycardia
D) Hypotension

Question 9

A client in labor is receiving an oxytocin (Pitocin)drip by the intravenous route.The nurse assesses the mother for which of the following adverse drug effects during the infusion?

A) Jaundice
B) Muscle twitching
C) Nausea and vomiting
D) Bradycardia

Question 10

The nurse would closely monitor the client who is receiving ritodrine (Yutopar)for which of the following adverse effects?

A) Dehydration
B) Pulmonary edema
C) Bradycardia
D) Hypotension

Question 11

A client in preterm labor has been started on an intravenous drip with magnesium sulfate.The nurse plans to monitor which of the following every hour?

A) Maternal vital signs
B) Fetal heart rate
C) Breath sounds
D) Deep tendon reflexes

Question 12

During administration of oxytocin (Pitocin)to a woman in labor,the nurse should plan to monitor drug effectiveness.This monitoring should include

A) assessment of maternal and fetal vital signs at least every 15 minutes.
B) assessment of the blood pressure and pulse during administration of the oxytocic agent.
C) continuing the agent if uterine hyperactivity occurs.
D) asking no questions about fetal movement except for those concerning age and parity.

Question 13

A client who gave birth would benefit from drug therapy with oxytocin (Syntocinon)to stimulate lactation.The nurse would instruct the client to take the medication at which of the following times?

A) Twice daily,morning and night
B) Every 6 hours around the clock
C) 1 hour after nursing the infant
D) Before nursing the infant

Question 14

The labor and delivery nurse concludes that which of the following clients on the nursing unit would benefit from drug therapy with ergonovine (Ergotrate)?

A) A client with early postpartum hemorrhage
B) A client who is having difficulty with lactation
C) A client who had an episiotomy during birth
D) A client with prolonged labor

Question 15

The nurse would have the greatest concern about the use of dinoprostone (Prepidil)in a client with which of the following health problems?

A) Diabetes mellitus
B) Cardiac disease
C) Rh-negative status
D) Hypothyroidism

Question 16

Ergonovine (Methergine)therapy is administered cautiously by the nurse when the client has which of the following conditions?

A) Intrauterine infection
B) Hypotension
C) Intrauterine fetal death
D) Cardiac disorders

Question 17

The nurse anticipates that which of the following may alter the pharmacokinetics of drugs used for a client during labor and delivery?

A) Enhanced gastric emptying
B) Vomiting
C) Urinary incontinence
D) Hypertension

Question 18

A client has just had a dinoprostone vaginal system inserted.The nurse explains that the system will be removed when the client

A) experiences vaginal tingling or burning.
B) begins active labor.
C) goes into transition in labor.
D) delivers an infant.

Question 19

The nurse determines an order for ritodrine (Yutopar)does not need to be questioned for a client with which of the following health problems?

A) Cardiac disorders
B) Intrauterine infection
C) Cervical dilation of less than 4 cm
D) Intrauterine fetal death

Question 20

A client with a history of mood disorder is in premature labor.The client is being considered for drug therapy with ritodrine (Yutopar).The nurse checks the client's medication history for evidence of which of the following types of drugs that would be a contraindication to ritodrine therapy?

A) Tricyclic antidepressants
B) Selective serotonin uptake inhibitors
C) Monoamine oxidase inhibitors
D) Lithium salts