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

Question 1

The nurse is caring for a patient after the third stage of labor,and the provider orders 20 mg of oxytocin to be given intramuscularly.The nurse will explain to the patient that this drug for which purpose?

A)To allow the cervix to close
B)To enhance milk letdown
C)To prevent uterine atony
D)To suppress lactation

Answer 1

To prevent uterine atony

Question 2

The nurse is caring for an infant who is 2 days postpartum and notes that the infant has a poor sucking response.The nurse reviews the delivery record and will likely note that which drug was given to the mother during labor?

A)Butorphanol tartrate (Stadol)
B)Fentanyl (Sublimaze)
C)Nalbuphine (Nubain)
D)Secobarbital (Seconal)

Answer 2

Secobarbital (Seconal)

Question 3

The nurse is caring for a woman who is in active labor and wants to receive a drug for severe pain immediately.Her intravenous line has just infiltrated.The nurse will perform which action?

A)Administer fentanyl intramuscularly.
B)Contact the provider for an order for IM meperidine (Demerol).
C)Give the woman promethazine (Phenergan)
D)Request an order for hydroxyzine (Vistaril).

Answer 3

Contact the provider for an order for IM meperidine (Demerol).

Question 4

The nurse prepares to assist with beractant (Survanta)administration to an infant who is intubated and mechanically ventilated.After removing the drug from the refrigerator,the nurse will perform which action?

A)Heat the drug in a warmer.
B)Discard the vial if the product appears light brown.
C)Shake the vial and draw up the drug dose.
D)Warm the vial by hand for 8 minutes.

Question 5

The nurse is caring for a multipara woman during labor who has requested an epidural block.The nurse will tell the patient that the epidural block will be given when her cervix is dilated

A)1 to 2 cm.
B)3 to 4 cm.
C)5 to 6 cm.
D)7 to 8 cm.

Question 6

The nurse administers meperidine (Demerol)to a woman who is in early labor.Immediately after the drug is given,the woman's labor progresses quickly,and she delivers her infant.The nurse will monitor the infant closely for which condition?

A)Opioid withdrawal syndrome
B)Orthostatic hypotension
C)Respiratory depression
D)Tachycardia and poor perfusion

Question 7

The nurse is caring for a woman who is in early labor.The woman wants to avoid pain medications as long as possible.What will the nurse tell her?

A)"I can give you a sedative-hypnotic now to help you relax."
B)"I can teach you some simple breathing exercises to help lessen discomfort."
C)"If you take fentanyl (Sublimaze) now,it will be more effective than if you wait."
D)"You may take ibuprofen,which won't cause drowsiness."

Question 8

The nurse is caring for a woman who is in labor.The woman is anxious and reports increasing nausea after receiving an opioid analgesic medication.The nurse will contact the provider and request an order for which intravenous medication?

A)Hydroxyzine HCl (Vistaril)
B)Pentobarbital sodium (Nembutal)
C)Promethazine (Phenergan)
D)Secobarbital sodium (Seconal)

Question 9

The nurse examines a primipara woman who has received an epidural block.The woman's cervix has been dilated at 5 cm for an hour after having shown steady progression earlier.The nurse will notify the provider and anticipate a need for

A)caesarean section.
B)forceps delivery.
C)intravenous oxytocin.
D)vacuum extraction.

Question 10

The nurse is preparing a woman who is in labor for a lumbar epidural and explains that she will receive a continuous infusion of epidural anesthesia.She asks what will happen if that isn't effective.What response by the nurse is correct?

A)"Increasing the amount of anesthesia will increase the risk of postdural headache."
B)"You should tell the provider,and you may receive rescue doses of anesthesia if needed."
C)"You will receive opioid analgesics if the epidural anesthesia is ineffective."
D)"The consistent level provided by the continuous anesthesia will be sufficient."

Question 11

The nurse is assisting with placement of epidural anesthesia for a woman who is in labor.To help prevent maternal hypotension,which is the nurse's initial action?

A)Administer 40 to 80 mcg of intravenous phenylephrine.
B)Infuse a bolus of 500 to 1000 mL of IV crystalloid solution.
C)Monitor the patient's blood pressure closely during epidural placement.
D)Turn the patient onto her left side and give a rapid bolus of crystalloid solution.