Question 1

The client who wishes to bottle feed her new infant asks the nurse about medications that can be used to suppress lactation.Which of the following drugs does the nurse recall can be used for this purpose?

Accepted Answer

Bromocriptine (Parlodel) is a medication that can be used to suppress lactation by decreasing the production of prolactin, the hormone responsible for milk production. Dinoprostone (Prepidil) is a medication used to ripen the cervix before induction of labor. Ergonovine (Methergine) is a medication used to control postpartum bleeding. Ritodrine (Yutopar) is a medication used to stop preterm labor.

Question 2

A client is beginning drug therapy with ritodrine (Yutopar).The nurse explains to the client that the goal of drug therapy is to stop uterine contractions for at least how long?

Accepted Answer

The goal of ritodrine therapy is to stop uterine contractions for 48 to 72 hours to allow for fetal lung maturity and other interventions.

Question 3

The nurse monitors the client's fluid and electrolyte status while administering oxytocin (Pitocin)for early detection of which of the following?

Accepted Answer

C

Question 4

The nurse assesses a client who received a dinoprostone (Cervidil)suppository for which of the following most common adverse effects?

Accepted Answer

The most common adverse effect of dinoprostone (Cervidil) is headache. Hypothermia, tachycardia, and hypotension are less common adverse effects of the medication.

Question 5

The nurse would prepare to give a scheduled dose of methylergonovine (Methergine)to a client with which of the following problems?

Accepted Answer

Methylergonovine (Methergine) is used to manage postpartum hemorrhage by constricting the blood vessels and preventing excessive bleeding. It is not used for premature labor, threatened abortion, or difficulty with lactation.

Question 6

The nurse would plan to administer dinoprostone (Prepidil)as ordered to a client for which of the following circumstances?

Accepted Answer

Dinoprostone (Prepidil) is a prostaglandin used to ripen the cervix and induce labor. It is typically used for the termination of pregnancy. It is not indicated for premature labor, postpartum hemorrhage or accelerated labor.

Question 7

A client is beginning oral drug therapy with ergonovine (Ergotrate).The nurse evaluates that the client understands drug therapy when the client states that she will need to take the drug for approximately how many days?

Accepted Answer

Ergonovine is typically prescribed for 2-4 days to treat postpartum or postabortion bleeding. It is important for the client to understand the duration of therapy to ensure adherence and effectiveness of treatment.

Question 8

The client who is receiving ergonovine (Methergine)therapy needs to be closely monitored for which of the following adverse effects?

Accepted Answer

Ergonovine (Methergine) is a medication used to control postpartum hemorrhage. It can cause vasoconstriction, which can lead to paresthesia (numbness and tingling) in the extremities.

Question 9

A client in labor is receiving an oxytocin (Pitocin)drip by the intravenous route.The nurse assesses the mother for which of the following adverse drug effects during the infusion?

Accepted Answer

Nausea and vomiting are potential adverse effects of oxytocin administration. Jaundice, muscle twitching, and bradycardia are not common adverse effects of oxytocin.

Question 10

The nurse would closely monitor the client who is receiving ritodrine (Yutopar)for which of the following adverse effects?

Accepted Answer

Ritodrine (Yutopar) is a beta-agonist used to relax the uterus and prevent premature labor. One of the significant adverse effects of ritodrine is pulmonary edema, which is a condition where fluid accumulates in the lungs, making it difficult to breathe. This is why patients receiving ritodrine are closely monitored for signs of pulmonary edema.

Question 11

A client in preterm labor has been started on an intravenous drip with magnesium sulfate.The nurse plans to monitor which of the following every hour?

Accepted Answer

Magnesium sulfate can cause muscle relaxation and decreased reflexes, leading to potential toxicity. Therefore, it is important for the nurse to monitor the client's deep tendon reflexes, typically every hour, to assess for signs of magnesium toxicity. Maternal vital signs, fetal heart rate, and breath sounds should also be monitored, but not specifically related to the administration of magnesium sulfate.

Question 12

During administration of oxytocin (Pitocin)to a woman in labor,the nurse should plan to monitor drug effectiveness.This monitoring should include

Accepted Answer

Monitoring maternal and fetal vital signs is essential during oxytocin administration to ensure that the drug is effectively inducing uterine contractions without compromising the safety of the mother and the fetus. Monitoring blood pressure and pulse during administration of the oxytocic agent may also be necessary, but it is not the primary method of monitoring drug effectiveness. If uterine hyperactivity occurs, the nurse should adjust the oxytocin dosage or discontinue the drug to prevent adverse effects on the mother or fetus. Asking no questions about fetal movement is not an appropriate way of monitoring the progress of labor or drug effectiveness.

Question 13

A client who gave birth would benefit from drug therapy with oxytocin (Syntocinon)to stimulate lactation.The nurse would instruct the client to take the medication at which of the following times?

Accepted Answer

Oxytocin is a hormone that stimulates contractions of the uterus during labor and helps with milk letdown during breastfeeding. The medication should be taken before nursing the infant to ensure that the milk is available for the baby during the feeding. Taking the medication after nursing or at a scheduled time could potentially lead to a delay in milk production or an inadequate milk supply for the baby.

Question 14

The labor and delivery nurse concludes that which of the following clients on the nursing unit would benefit from drug therapy with ergonovine (Ergotrate)?

Accepted Answer

Ergonovine (Ergotrate) is a medication used to prevent and treat postpartum hemorrhage by causing uterine contractions. Therefore, the client with early postpartum hemorrhage would benefit from drug therapy with ergonovine. The other options do not require the use of ergonovine.

Question 15

The nurse would have the greatest concern about the use of dinoprostone (Prepidil)in a client with which of the following health problems?

Accepted Answer

Dinoprostone (Prepidil) is a prostaglandin E2 used for cervical ripening and induction of labor. It can cause uterine contractions and increase the risk of uterine rupture in women with a history of cesarean delivery or other uterine surgery. Women with cardiac disease are at increased risk of complications from the uterine contractions induced by dinoprostone, thus caution should be exercised when using this medication in these clients.

Question 16

Ergonovine (Methergine)therapy is administered cautiously by the nurse when the client has which of the following conditions?

Accepted Answer

Ergonovine (Methergine) is a medication that causes uterine contractions and is commonly used to prevent and treat postpartum hemorrhage. However, it should be administered cautiously in clients with cardiac disorders because it can cause vasoconstriction and increase blood pressure, potentially putting additional strain on the heart. It is contraindicated in clients with hypertension, gestational hypertension, preeclampsia, or eclampsia. Intrauterine infection, intrauterine fetal death, and hypotension are not specifically contraindications for ergonovine therapy, although caution should still be used in these situations.

Question 17

The nurse anticipates that which of the following may alter the pharmacokinetics of drugs used for a client during labor and delivery?

Accepted Answer

Vomiting may alter the pharmacokinetics of drugs used for a client during labor and delivery by decreasing the absorption and bioavailability of oral medications or by reducing the effectiveness of intravenous medications. Other factors that can alter pharmacokinetics during labor and delivery include changes in renal and hepatic function, changes in blood flow and plasma volume, and alterations in protein binding.

Question 18

A client has just had a dinoprostone vaginal system inserted.The nurse explains that the system will be removed when the client

Accepted Answer

The dinoprostone vaginal system is used for cervical ripening and to induce labor. It is typically removed once active labor begins, as its purpose is to help initiate labor rather than to assist with the later stages of labor or delivery.

Question 19

The nurse determines an order for ritodrine (Yutopar)does not need to be questioned for a client with which of the following health problems?

Accepted Answer

Ritodrine is a tocolytic medication used to delay preterm labor by relaxing uterine smooth muscles. It is contraindicated for clients with cardiac disorders as it can cause tachycardia and arrhythmias. It should not be used in clients with intrauterine infection as it can mask the signs of infection and delay appropriate treatment. It is also contraindicated in clients with intrauterine fetal death. Ritodrine is most effective when the cervical dilation is less than 4 cm, so it is not necessary to question the order in this case.

Question 20

A client with a history of mood disorder is in premature labor.The client is being considered for drug therapy with ritodrine (Yutopar).The nurse checks the client's medication history for evidence of which of the following types of drugs that would be a contraindication to ritodrine therapy?

Accepted Answer

Monoamine oxidase inhibitors (MAOIs) are a contraindication to ritodrine therapy because combining these medications can lead to severe hypertension or other cardiovascular complications due to their synergistic effects on increasing heart rate and blood pressure.

Quiz 52: Drugs for Labor and Delivery

The client who wishes to bottle feed her new infant asks the nurse about medications that can be used to suppress lactation.Which of the following drugs does the nurse recall can be used for this purpose?

A client is beginning drug therapy with ritodrine (Yutopar) .The nurse explains to the client that the goal of drug therapy is to stop uterine contractions for at least how long?

The nurse monitors the client's fluid and electrolyte status while administering oxytocin (Pitocin) for early detection of which of the following?

The nurse assesses a client who received a dinoprostone (Cervidil) suppository for which of the following most common adverse effects?

The nurse would prepare to give a scheduled dose of methylergonovine (Methergine) to a client with which of the following problems?

The nurse would plan to administer dinoprostone (Prepidil) as ordered to a client for which of the following circumstances?

A client is beginning oral drug therapy with ergonovine (Ergotrate) .The nurse evaluates that the client understands drug therapy when the client states that she will need to take the drug for approximately how many days?

The client who is receiving ergonovine (Methergine) therapy needs to be closely monitored for which of the following adverse effects?

A client in labor is receiving an oxytocin (Pitocin) drip by the intravenous route.The nurse assesses the mother for which of the following adverse drug effects during the infusion?

The nurse would closely monitor the client who is receiving ritodrine (Yutopar) for which of the following adverse effects?

A client in preterm labor has been started on an intravenous drip with magnesium sulfate.The nurse plans to monitor which of the following every hour?

During administration of oxytocin (Pitocin) to a woman in labor,the nurse should plan to monitor drug effectiveness.This monitoring should include

A client who gave birth would benefit from drug therapy with oxytocin (Syntocinon) to stimulate lactation.The nurse would instruct the client to take the medication at which of the following times?

The labor and delivery nurse concludes that which of the following clients on the nursing unit would benefit from drug therapy with ergonovine (Ergotrate) ?

The nurse would have the greatest concern about the use of dinoprostone (Prepidil) in a client with which of the following health problems?

Ergonovine (Methergine) therapy is administered cautiously by the nurse when the client has which of the following conditions?

The nurse anticipates that which of the following may alter the pharmacokinetics of drugs used for a client during labor and delivery?

A client has just had a dinoprostone vaginal system inserted.The nurse explains that the system will be removed when the client

The nurse determines an order for ritodrine (Yutopar) does not need to be questioned for a client with which of the following health problems?

A client with a history of mood disorder is in premature labor.The client is being considered for drug therapy with ritodrine (Yutopar) .The nurse checks the client's medication history for evidence of which of the following types of drugs that would be a contraindication to ritodrine therapy?