Deck 53: Female Reproductive Cycle I: Pregnancy and Preterm Labor Drugs

Question 1

The nurse is caring for a patient who is 6 to 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.

Answer 1

have asthma.

Question 2

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.

Answer 2

will be more likely to cross the placenta and affect the fetus.

Question 3

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 mg of folic acid per day
C)400 IU of vitamin D per day
D)1200 mg of calcium per day

Answer 3

400 mg of folic acid per day

Question 4

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 minutes after eating.The nurse will recommend which over-the-counter product?

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

Question 5

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 hours.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 6

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 7

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.

Question 8

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 9

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."

Question 10

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 11

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."

Question 12

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 13

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 14

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 15

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 16

Which are physiologic changes during pregnancy that affect drug absorption,metabolism,distribution,and excretion? (Select all that apply. )

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