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WorksheetsReproductive Medications
Total questions: 35
Worksheet time: 18mins
A patient is receiving magnesium sulfate for preterm labor. Which sign or symptom noticed by the nurse would cause the nurse to stop the infusion?
DTRs 1+
Respiratory rate of 10
Blood Pressure of 108/60 mm Hg
The patient is drowsy
A patient is receiving indomethacin. The nurse is aware that a common side effect of this medication is:
Decreased respirations
Gastrointestinal upset
Rash
Tachycardia
Why is magnesium sulfate administered to the pregnant patient with pre-eclampsia?
Prevent nausea and vomiting
Decrease the pain of labor contractions
Reduce central nervous system irritability
Replace magnesium in a patient with a low magnesium level
The laboring patient wants medication for pain management. The health-care provider has ordered butorphanol 1 mg IV. The patient asks the nurse if it is safe for the baby. what is the best response by the nruse?
"Of course, it is; trust me! I have been working in this department for 20 years. You'll be glad you took it."
"It's such a small dose that I could give it to a 10-year-old. The baby is getting his oxygen through the umbilical cord"
"Don't worry. The baby will be fine. My goal is to help you have a safe labor, and I am watching out for your baby."
"I am giving you a small dose so that the peak effect wears off before the baby is born. That reduces the risk of harm to the baby."
A patient is admitted to labor and delivery. She has had limited prenatal care, is pregnant with her second child, and is Rh-negative. she is prepared for an external cephalic version. The nurse expects the health-care provider to order which of the following medications?
Prostaglandin gel
Oxytocin
Magnesium sulfate
RhoGAM
Which of the following is a possible side effect of prostaglandin gel?
Frequent urination
Leg cramps
Nausea
Backache
Which of the following is a major responsibility of the nurse caring for a patient receiving oxytocin for labor induction?
Monitor IV site
Monitor the patient's urinary output
Monitor the patient's coping mechanisms for labor
Monitor for tachysystole
Which information should the practical nurse provide the parents about the purpose of instilling erythromycin ophthalmic ointment into the newborn's eyes?
Prevents the infant's eyelids from sticking together
Destroys Staphylococcus overgrowth in eye exudate after birth
Prevents obstruction of the infant's tear ducts
Prophylactic treatment for gonorrheal and chlamydia infection
Which medication is prescribed for the prevention of ophthalmia neonatorum?
triple antibiotic ointment
natamycin
tobramycin
erythromycin
Which client is a candidate for the administration of human immune globulin (RhoGAM) after delivery?
The Rh positive mother who delivers a Rh positive baby
The Rh negative mother who delivers a Rh negative baby
The Rh positive mother who delivers a Rh negative baby
The Rh negative mother who delivers a Rh positive baby
Prior to writing a prescription for a contraceptive, the physician reviews the patients medical history. This is important because contraceptives are contraindicated in patients with a history of:
Asthma
Thrombophlebitis
Peanut allergy
Breast augmentation
What is the antidote for oxytocin?
(a)
What is the antidote for magnesium sulfate?
(a)
What symptom would be most important for a patient to report to their physician after starting an oral contraceptive?
Chest Pain
Urinary frequency
Breast tenderness
Rash on chest
Extreme caution should be exercised when administering magnesium sulfate because of its potential effects on the neonate. This includes the potential for:
Hypotension
Increased risk of seizure
Respiratory depression
Hypertension
What is one of the serious side effects of magnesium sulfate?
Hypertension
Flaccid paralysis
Status asthmaticus
Severe dehydration
While a patient is receiving IV magnesium sulfate, she will be monitored closely for:
Vital signs and reflexes
Blood glucose levels
Hematocrit and hemoglobin
Creatinine clearance
What possible side effect should a patient taking tadalafil report to a physician?
Insomnia
Vision abnormalities
Constipation
Tingling in the feet
Which category of drugs has serious interactions with PDE inhibitors?
Nitrates
Anti-inflammatories
Muscle relaxants
Hypoglycemic agents
dinoprostone intravaginal gel is indicated for:
premature labor
therapeutic abortion
induction of labor
cervical ripening
Oxytocin should be avoided for patients with a history of:
miscarriage
diabetes mellitus
endometriosis
placenta previa
A side effect of methylergonovine, given for the treatment of postpartum hemorrhage, can include
fever
N/V
urinary retention
peripheral vasodilation
A drug used primarily for pulmonary disorders but that can also be used for the management of preterm labor is
Oxytocin
Carboprost
Terbutaline
Misoprostol
Fetal side effects of terbutaline include:
hypercalcemia
hypobilirubinemia
tachycardia
intra-abdominal bleeding
Extreme caution is required with the administration of oxytocin, along with constant fetal and maternal monitoring, to prevent which side effect?
Cervical stricture
Maternal desaturation
Maternal seizures
Uterine rupture
What should the nurse anticipate being included in the therapeutic plan of care for a postpartum client with subinvolution?
oral methylergonovine maleate
oxytocin IV infusion for 8 hours
oral fluids to 3,000 mL per day
blood replacement
In which postpartum client would the nurse consider that methylergonovine maleate is contraindicated?
A client with a blood pressure of 120/60
A client with a heart rate of 60
A client with a blood pressure of 140/100
A client with a respiratory rate of 12
A postpartum client has an epidural catheter in place following delivery of an infant via cesarean section. The nurse determines that which medication is a priority to have on hand for use if needed?
meperidine hydrochloride
betamethasone
carboprost
naloxone
In addition to routine data collection and care, nursing care of the client who is receiving terbutaline to prevent premature labor should include monitoring for what indicator of an adverse drug effect?
Oral temperature every 2 hours
Fetal heart tones every 30 minutes
Breath sounds every 4 hours
Deep-tendon reflexes every 4 hours
A client in premature labor is scheduled to receive a dose of bethamethasone. In reinforcing information about this medication, how should the nurse explain the purpose and expected action of the medication?
Stops uterine contractions
Prevents infection
Hastens fetal lung maturity
Prevents cervical dilatation
A client in active labor is to have an epidural block. While this is being administered, which of the following nursing actions takes priority?
Checking the uterine contractions for an increase in strength
Positioning the mother flat in bed to avoid postspinal headache
Telling the mother she will feel the need to void more frequently
Monitoring the maternal blood pressure for possible hypotension
The client is 5 cm dilated and displays restlessness, moaning, and is beginning to hyperventilate. She says the breathing and other techniques aren't working, and asks the nurse to give her something for pain. The nurse obtains a prescription for butorphanol, 2 mg IV. What are the nursing implications for this medication? Select all that apply
The nurse informs the client that this medication will abolish all sensation of pain
The nurse monitors the client for signs of allergic or adverse reactions
The nurse has naloxone available to administer for respiratory depression of the neonate
The nurse has an emesis basin available in the event of nausea and vomiting
The nurse observes the newborn for respiratory depression if birth occurs within 6 to 8 hr of dose
Men taking phosphodiesterase (PDE) inhibitors should be counseled that:
they do not require sexual arousal to cause erections
they should be taken at least 6 h before anticipated sexual activity
they may potentiate the effects of alpha-blockers
their effects often last 36 or more hours
A female client older than 35 has been taking contraceptives for the past 5 years and has expressed the desire to continue doing so. Which of the following conditions would require caution with contraceptive use? Select all that apply
Influenza
Hypertension
Smoking more than 15 cigarettes a day
Diabetes mellitus
Normal body weight
When a client has been administered oxytocin for the induction of labor, which of the following is requried?
Constant maternal and fetal monitoring
Monitoring of blood glucose level
Oxygen
Mask and gloves
