Deck 54: Female Reproductive Cycle Ii: Labor, Delivery, and Preterm Neonatal Drugs

Question 1

The client is scheduled to be treated with Oxytocin by nasal spray. The nurse plans to administer the drug:

A) 2 to 3 minutes after the client nurses her baby.
B) 2 to 3 minutes before the client nurses her baby.
C) after delivery of the placenta.
D) as delivery of the placenta is imminent.

Answer 1

2 to 3 minutes before the client nurses her baby.

Question 2

The client is scheduled for an epidural anesthetic as she delivers. What will be the highest priority nursing intervention?

A) Administer 1 L of an isotonic IV solution and encourage use of a bedpan after spinal anesthesia.
B) Administer 500 mL of a hypotonic IV solution and assess the level of consciousness because the patient is sedated.
C) Administer 500 mL of a hypertonic IV solution and assess fetal heart rate and progress of labor as per pregnancy protocol.
D) Administer 1 L of hypotonic IV solution and allow the client to ambulate during the spinal anesthesia.

Answer 2

Administer 1 L of an isotonic IV solution and encourage use of a bedpan after spinal anesthesia.

Question 3

What would be a positive outcome of administration of oxytocin (Pitocin) 10 units (intramuscularly) after the third stage of labor?

A) Relaxation of the uterus
B) Relief of "afterbirth" discomfort
C) Suppression of lactation
D) Prevention of uterine atony

Answer 3

Prevention of uterine atony

Question 4

Which will most likely be part of the nursing care of a woman postcaesarean section with spinal anesthesia?

A) Early ambulation to avoid constipation
B) Fluid restrictions to decrease blood volume
C) Lying flat 6 to 8 hours to avoid spinal headache
D) IV antibiotics to avoid postpartum infection

Question 5

A client is being treated with an ergot alkaloid medication. Which observation would cause the nurse to contact the primary healthcare provider?

A) Hypertension
B) Itching
C) Jugular vein distention
D) Seizure activity

Question 6

The best candidate for treatment with dinoprostone (Cervidil) is the woman who needs her:

A) labor stopped.
B) cervix ripened.
C) labor stimulated.
D) labor prolonged.

Question 7

An epidural block is ordered for a primipara client in labor. The nurse anticipates that this epidural block will be given when the cervix is dilated at _____ centimeters.

A) 2 to 3
B) 3 to 4
C) 4 to 5
D) 5 to 6

Question 8

The client received a score of 9 on the Modified Bishop Scoring System. The nurse interprets this to mean that the client:

A) cannot be considered for labor induction because of to her overall health status.
B) can be considered for labor induction but the risks should be evaluated.
C) cannot be considered for labor induction due to the risks to the fetus.
D) can be considered for a labor induction, which is anticipated to be successful.

Question 9

The best candidate for induction of labor is the woman:

A) experiencing a multiple gestation pregnancy.
B) experiencing umbilical cord prolapse.
C) whose fetus will probably be premature.
D) who fetus is post due date.

Question 10

The healthcare provider orders hydroxyzine (Vistaril) for a client in labor. To achieve a positive outcome, the nurse plans to administer the drug via which route?

A) Intradermally
B) Intravenously
C) Intramuscularly via Z-track technique
D) Subcutaneously via Z-track technique