Deck 39: Drugs Used in Obstetrics

Question 1

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

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

Answer 1

Erythromycin

Question 2

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?

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

Answer 2

Magnesium sulfate

Question 3

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?

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."

Answer 3

"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 4

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

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

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?

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

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

Question 7

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?

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 8

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

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

Question 9

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

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

Question 10

Which assessment(s)will the nurse complete during routine pregnancy visits?

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

Question 11

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

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

Question 12

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

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

Question 13

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

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

Question 14

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

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

Question 15

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

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

Question 16

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

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

Question 17

Which is characterized by seizures?

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

Question 18

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

A) Nausea
B) Constipation
C) Fever
D) Insomnia
E) Aches
F) Diarrhea
G) Anorexia