Deck 49: Pregnancy and Preterm Labor

Question 1

The nurse is teaching a woman who is pregnant about iron supplementation.Which statement by the woman indicates understanding of the teaching?

A) "I may take the iron with an antacid to reduce gastrointestinal upset."
B) "I should drink a glass of milk with iron to increase absorption."
C) "I should take the iron supplement with a glass of orange juice."
D) "I will stop taking the iron if my stools turn black and tarry."

Answer 1

"I should take the iron supplement with a glass of orange juice."

Question 2

A pregnant woman asks the nurse if she must give up caffeinated coffee while pregnant.How will the nurse advise the patient?

A) "Two cups of coffee can increase your risk of spontaneous abortion."
B) "Drinking fewer than 6 cups of coffee per day is not harmful."
C) "You may consume coffee freely during your third trimester."
D) "There is evidence that caffeine is teratogenic."

Answer 2

"Two cups of coffee can increase your risk of spontaneous abortion."

Question 3

The nurse is caring for a woman who is experiencing premature labor.The provider has ordered intravenous terbutaline (Brethine)to be given.The nurse will explain that this medication will have which action?

A) It will decrease uterine contractions.
B) It will enhance fetal lung development.
C) It will increase fetal blood supply.
D) It will lower her blood pressure.

Answer 3

It will decrease uterine contractions.

Question 4

A pregnant woman reports having constipation and has tried dietary changes without success.What will the nurse recommend?

A) Bisacodyl (Dulcolax)
B) Mineral oil
C) Psyllium (Metamucil)
D) Senna (Senokot)

Question 5

A patient who has just delivered her baby asks the nurse if she needs to continue taking her iron supplement.What instruction will the nurse provide to the patient?

A) "Continue taking iron for 6 more weeks."
B) "Stop taking the iron supplement now."
C) "Take the iron supplement while nursing."
D) "Take the iron only if your hemoglobin is low."

Question 6

A woman who is in her third trimester of pregnancy asks the nurse why she cannot take ibuprofen instead of acetaminophen for headaches.The nurse will explain that NSAIDs

A) will affect her fetus.
B) have renal toxicity.
C) induce premature labor.
D) prolong labor.

Question 7

A woman who is experiencing preeclampsia asks what changes she has to make to her routine to minimize the risk of worsening her condition.The nurse will explain that she should

A) lie on her right side when sleeping.
B) be hospitalized for the remainder of the pregnancy.
C) restrict her fluids to 1000 mL/day.
D) maintain a low stimulating environment.

Question 8

A pregnant woman asks the nurse about whether a medication is safe to take during pregnancy.The nurse notes that the drug has a low-molecular weight.Based on this drug characteristic,the nurse understands that this drug

A) can cause greater gastrointestinal distress and hyperemesis.
B) has reduced renal elimination resulting in toxicity.
C) is more sensitive to metabolism by circulating maternal hormones.
D) will be more likely to cross the placenta and affect the fetus.

Question 9

A woman who is experiencing premature labor is being given betamethasone (Celestone).She asks the nurse why this drug is being given.The nurse will explain that betamethasone is given for which reason?

A) It lowers her blood pressure and prevents seizures.
B) It prevents closure of the ductus arteriosus.
C) It prevents respiratory distress in her infant.
D) It stops her contractions.

Question 10

A pregnant woman who has morning sickness asks the nurse what she can do to decrease her symptoms.The nurse will counsel her to take which action?

A) Avoid fatty foods.
B) Drink fluids with meals.
C) Eat a large lunch and dinner.
D) Take an iron supplement in the morning.

Question 11

The nurse is caring for a woman who is in labor and has a blood pressure of 180/98 mm Hg with proteinuria of 400 mg/24 h.The woman is receiving magnesium sulfate.The woman becomes lethargic with slurring of her speech and decreased muscle tone.Her serum magnesium sulfate level is 11 mEq/L.The nurse recognizes which condition in this patient?

A) Abruptio placenta
B) Hypertensive crisis
C) Impending eclampsia
D) Magnesium toxicity

Question 12

A young woman who is contemplating pregnancy asks the nurse what she can do to get healthy in preparation for pregnancy.The nurse will recommend which dietary supplement?

A) 60 mg of elemental iron per day
B) 400 mcg of folic acid per day
C) 400 IU of vitamin D per day
D) 1200 mg of calcium per day

Question 13

Which are physiologic changes during pregnancy that affect drug absorption,metabolism,distribution,and excretion?

A) Circulating steroid hormones
B) Decreased gastrointestinal motility
C) Decreased renal perfusion
D) Increased maternal circulatory blood volume
E) Poor sleep and fatigue
F) Rapid respiratory rate

Question 14

The nurse is caring for a patient who is 6-7 weeks pregnant and has moderate to severe vomiting.The provider has ordered doxylamine (Unisom)and intravenous fluids.The patient reports a history of asthma and type 2 diabetes mellitus.The nurse will hold the drug and contact the provider because doxylamine should not be given to patients who

A) are pregnant.
B) are in their first trimester.
C) have asthma.
D) have diabetes.

Question 15

Which statement by the nurse is accurate regarding iron supplementation during pregnancy?

A) "All women should take iron supplements throughout their pregnancy."
B) "Iron supplements are given to supply the fetus."
C) "Iron supplements usually are not necessary until the second trimester."
D) "The greatest iron demand is in the first trimester of pregnancy."

Question 16

A woman who is pregnant tells the nurse she has frequent heartburn in spite of eating small meals slowly; avoiding greasy,gas-forming foods; and remaining upright for 30 min after eating.The nurse will recommend which over-the-counter product?

A) Alka-Seltzer
B) Magaldrate
C) Pepcid
D) TUMS

Question 17

A woman who is 4 weeks pregnant is worried that a medication she took until 3 weeks ago may cause birth defects.The nurse will tell her that

A) drugs taken in the first week of pregnancy can cause CNS defects.
B) medications have increased teratogenicity during the first week of pregnancy.
C) she should have an ultrasound immediately.
D) teratogenic effects are rare in the first 2 weeks of pregnancy.

Question 18

The nurse is caring for a woman who is in her third trimester of pregnancy.The patient has a blood pressure of 165/95 mm Hg with proteinuria of 350 mg/24 h and has been diagnosed with preeclampsia.The nurse recognizes which conditions as risk factors for this condition?

A) African American, multigravida, and 40 years of age
B) Caucasian, multifetal gestation, and preexisting hypertension
C) Maternal infection, age 19, and preexisting renal disease
D) History of preeclampsia, obesity, and surrogacy