Deck 7: Maternal and Child Drug Therapy

Question 1

The most effective nursing intervention to prevent an infant from aspirating or choking on an oral medication would be to

A) inject it into the buccal area quickly.
B) administer it slowly and in small amounts.
C) use a glass dropper to instill it beside the tongue.
D) place the infant in a supine position with the head tilted.

Answer 1

administer it slowly and in small amounts.

Question 2

When trying to get the toddler to take his oral pain medication after surgery,the nurse's most appropriate comment would be

A) "Now just take this one more time and it will be all over with."
B) "This doesn't taste too bad;besides,it will be all over with."
C) "I have your cherry medicine.Will you take it for me?"
D) "Do you want to take this with your sherbet or with your Jell-O?"

Answer 2

"Do you want to take this with your sherbet or with your Jell-O?"

Question 3

Which of the following statements by the nurse to a group of pregnant women who plan to breastfeed best reflects the need for cautious medication use during lactation?

A) "Many mothers should probably not breastfeed because of all the contraindications with drugs and foods."
B) "One dose of any drug is not of major concern,so breastfeeding is a preferred method of feeding the newborn."
C) "The neonate's liver is well matured,so lactation should not be of concern to mothers who need to use medications."
D) "Almost all forms of drugs in the maternal circulation can be readily transferred to the breast milk."

Answer 3

"Almost all forms of drugs in the maternal circulation can be readily transferred to the breast milk."

Question 4

The nurse would administer nose drops to an infant with nasal congestion how many minutes prior to a feeding?

A) 5 to 10
B) 20 to 30
C) 45 to 60
D) 60 to 90

Question 5

Which of the following rationales does not support termination of breastfeeding when a client begins potent antibiotic therapy for pneumonia?

A) The drug can be excreted in full amounts when taken intravenously
B) The mother exhibits evidence of decreased renal functioning
C) Serious conditions in the mother may require prolonged therapy
D) The drug has a high maternal and fetal allergenic potential

Question 6

A pregnant client in her third trimester has an order to receive a prescribed medication.The nurse understands that transfer of drugs through the placenta is greatest during this time because of which of the following factors?

A) Decreased membrane separation
B) Decreased proportion of free drug available
C) Increased drug in the maternal circulation
D) Enhanced uteroplacental blood flow

Question 7

The most appropriate technique for instilling eye drops in a pediatric client is to

A) wait until the burning stops to instill a second drop.
B) have the child flex his or her neck for adequate drainage.
C) hold mild pressure for 30 seconds after instilling the drops.
D) invert the dropper to allow the medication to settle into the cap.

Question 8

The nurse working in a newborn nursery understands that which factor places the neonate at risk regarding pharmacokinetics?

A) Hyperperistaltic bowel
B) Dysfunctional musculoskeletal system
C) Immature renal functioning
D) Efficient temperature regulation

Question 9

The nurse is doing anticipatory teaching with a woman who is contemplating pregnancy.The nurse would strongly encourage the woman to avoid taking medication during which critical period because of the effects on the fetus?

A) Twentieth through twenty-fourth weeks
B) Tenth through sixteenth weeks
C) Thirty-second through thirty-sixth weeks
D) First 2 weeks

Question 10

Physiologic differences in an infant compared with an adult affect the amount of drug needed to produce a therapeutic effect.Which of the following is one of the differences?

A) Infants have a fat composition of less than 0.01%
B) Infants have a water composition of approximately 75%
C) Infants have a greater body fat composition
D) Infants have a lesser water composition

Question 11

The nurse conducting health teaching with high-risk young women in the community shares that maternal cocaine use during pregnancy has led to which of the following fetal complications?

A) Congenital heart disease
B) Decreased heart rates
C) Increased weight gain
D) Maximal lung expansion

Question 12

The nurse conducting preventative health teaching with a pregnant client states that heavy use of alcohol during pregnancy may result in which of the following complications in the fetus?

A) Endocrine hyperplasia
B) Retarded growth
C) Dermatologic changes
D) Polycystic kidneys

Question 13

Which of the following is not a special consideration of the neonate regarding resisting stressors?

A) They have thin,permeable skin
B) Their stomachs have excess acid
C) Their lungs lack much of the mucous barrier
D) They regulate temperature poorly

Question 14

The best advice for the nurse to give a toddler who is about to receive preoperative injected medications would be

A) "Just close your eyes.This will only sting for a few seconds."
B) "After the nurses help hold your leg down,I will give you a quick shot."
C) "I have an injection to give you,and it will hurt a little."
D) "If you are jumpy,I will have to get the physician in to help me give you this shot."

Question 15

Along with fetal alcohol syndrome,other factors that may affect the pharmacokinetics and subsequent nursing actions in neonates include

A) decreased microsomal enzymes.
B) increased glomerular filtration.
C) increased protein binding.
D) rapid gastric emptying.

Question 16

When preparing a 3-year-old boy for preoperative injections,the nurse should do which of the following?

A) Explain in detail what is going to happen
B) Let the mother read him a book to take his mind off it
C) Let him give a doll an injection with an empty syringe without a needle
D) Reinforce that kicking and hitting will only make it all last longer

Question 17

The nurse teaches a lactating woman that drug effects on the infant may be minimized by taking medications

A) right after breastfeeding.
B) 2 hours after breastfeeding.
C) 1 hour before breastfeeding.
D) right before breastfeeding.

Question 18

The nurse explains to a woman who has just found out she is pregnant that which of the following common drugs does not need to be avoided during pregnancy?

A) Acetaminophen (Tylenol)
B) Aspirin
C) Cough and cold products
D) Caffeine

Question 19

The scalp vein is most often used for IV infusion in the neonate because of which principle?

A) The neonate cannot receive IV therapy in any other site
B) No valves are present in scalp veins,so infusions may flow in either direction
C) Drugs may be given in higher dextrose concentrations at this site
D) Rapid infusion rates are easier with neonatal scalp veins

Question 20

After administering a rectal suppository to an infant,the nurse should hold or tape the buttocks together for how long?

A) 1 to 2 minutes
B) 3 to 5 minutes
C) 5 to 10 minutes
D) 15 to 30 minutes

Question 21

The nurse who is teaching a group of pregnant women at risk for substance abuse would state that a substance reaches the fetus through which of the following mechanisms?

A) Breast milk
B) Fetal circulation
C) Maternal circulation
D) Fetal ingestion

Question 22

To prevent breastfed infants from ingesting drugs from the mother,it is recommended that

A) mothers take smaller doses of medications.
B) mothers interrupt breastfeeding.
C) no precautions are necessary.
D) mothers take larger doses of medications.