wayground logo

Free Printable Worksheets

Font size

S
M
L
XL
Worksheets

Reproductive Medications

Total questions: 35

Worksheet time: 18mins

Name
Class
Date
1.

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?

a)

DTRs 1+

b)

Respiratory rate of 10

c)

Blood Pressure of 108/60 mm Hg

d)

The patient is drowsy

2.

A patient is receiving indomethacin. The nurse is aware that a common side effect of this medication is:

a)

Decreased respirations

b)

Gastrointestinal upset

c)

Rash

d)

Tachycardia

3.

Why is magnesium sulfate administered to the pregnant patient with pre-eclampsia?

a)

Prevent nausea and vomiting

b)

Decrease the pain of labor contractions

c)

Reduce central nervous system irritability

d)

Replace magnesium in a patient with a low magnesium level

4.

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?

a)

"Of course, it is; trust me! I have been working in this department for 20 years. You'll be glad you took it."

b)

"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"

c)

"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."

d)

"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."

5.

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?

a)

Prostaglandin gel

b)

Oxytocin

c)

Magnesium sulfate

d)

RhoGAM

6.

Which of the following is a possible side effect of prostaglandin gel?

a)

Frequent urination

b)

Leg cramps

c)

Nausea

d)

Backache

7.

Which of the following is a major responsibility of the nurse caring for a patient receiving oxytocin for labor induction?

a)

Monitor IV site

b)

Monitor the patient's urinary output

c)

Monitor the patient's coping mechanisms for labor

d)

Monitor for tachysystole

8.

Which information should the practical nurse provide the parents about the purpose of instilling erythromycin ophthalmic ointment into the newborn's eyes?

a)

Prevents the infant's eyelids from sticking together

b)

Destroys Staphylococcus overgrowth in eye exudate after birth

c)

Prevents obstruction of the infant's tear ducts

d)

Prophylactic treatment for gonorrheal and chlamydia infection

9.

Which medication is prescribed for the prevention of ophthalmia neonatorum?

a)

triple antibiotic ointment

b)

natamycin

c)

tobramycin

d)

erythromycin

10.

Which client is a candidate for the administration of human immune globulin (RhoGAM) after delivery?

a)

The Rh positive mother who delivers a Rh positive baby

b)

The Rh negative mother who delivers a Rh negative baby

c)

The Rh positive mother who delivers a Rh negative baby

d)

The Rh negative mother who delivers a Rh positive baby

11.

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:

a)

Asthma

b)

Thrombophlebitis

c)

Peanut allergy

d)

Breast augmentation

12.

What is the antidote for oxytocin?

(a)  

13.

What is the antidote for magnesium sulfate?

(a)  

14.

What symptom would be most important for a patient to report to their physician after starting an oral contraceptive?

a)

Chest Pain

b)

Urinary frequency

c)

Breast tenderness

d)

Rash on chest

15.

Extreme caution should be exercised when administering magnesium sulfate because of its potential effects on the neonate. This includes the potential for:

a)

Hypotension

b)

Increased risk of seizure

c)

Respiratory depression

d)

Hypertension

16.

What is one of the serious side effects of magnesium sulfate?

a)

Hypertension

b)

Flaccid paralysis

c)

Status asthmaticus

d)

Severe dehydration

17.

While a patient is receiving IV magnesium sulfate, she will be monitored closely for:

a)

Vital signs and reflexes

b)

Blood glucose levels

c)

Hematocrit and hemoglobin

d)

Creatinine clearance

18.

What possible side effect should a patient taking tadalafil report to a physician?

a)

Insomnia

b)

Vision abnormalities

c)

Constipation

d)

Tingling in the feet

19.

Which category of drugs has serious interactions with PDE inhibitors?

a)

Nitrates

b)

Anti-inflammatories

c)

Muscle relaxants

d)

Hypoglycemic agents

20.

dinoprostone intravaginal gel is indicated for:

a)

premature labor

b)

therapeutic abortion

c)

induction of labor

d)

cervical ripening

21.

Oxytocin should be avoided for patients with a history of:

a)

miscarriage

b)

diabetes mellitus

c)

endometriosis

d)

placenta previa

22.

A side effect of methylergonovine, given for the treatment of postpartum hemorrhage, can include

a)

fever

b)

N/V

c)

urinary retention

d)

peripheral vasodilation

23.

A drug used primarily for pulmonary disorders but that can also be used for the management of preterm labor is

a)

Oxytocin

b)

Carboprost

c)

Terbutaline

d)

Misoprostol

24.

Fetal side effects of terbutaline include:

a)

hypercalcemia

b)

hypobilirubinemia

c)

tachycardia

d)

intra-abdominal bleeding

25.

Extreme caution is required with the administration of oxytocin, along with constant fetal and maternal monitoring, to prevent which side effect?

a)

Cervical stricture

b)

Maternal desaturation

c)

Maternal seizures

d)

Uterine rupture

26.

What should the nurse anticipate being included in the therapeutic plan of care for a postpartum client with subinvolution?

a)

oral methylergonovine maleate

b)

oxytocin IV infusion for 8 hours

c)

oral fluids to 3,000 mL per day

d)

blood replacement

27.

In which postpartum client would the nurse consider that methylergonovine maleate is contraindicated?

a)

A client with a blood pressure of 120/60

b)

A client with a heart rate of 60

c)

A client with a blood pressure of 140/100

d)

A client with a respiratory rate of 12

28.

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?

a)

meperidine hydrochloride

b)

betamethasone

c)

carboprost

d)

naloxone

29.

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?

a)

Oral temperature every 2 hours

b)

Fetal heart tones every 30 minutes

c)

Breath sounds every 4 hours

d)

Deep-tendon reflexes every 4 hours

30.

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?

a)

Stops uterine contractions

b)

Prevents infection

c)

Hastens fetal lung maturity

d)

Prevents cervical dilatation

31.

A client in active labor is to have an epidural block. While this is being administered, which of the following nursing actions takes priority?

a)

Checking the uterine contractions for an increase in strength

b)

Positioning the mother flat in bed to avoid postspinal headache

c)

Telling the mother she will feel the need to void more frequently

d)

Monitoring the maternal blood pressure for possible hypotension

32.

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

a)

The nurse informs the client that this medication will abolish all sensation of pain

b)

The nurse monitors the client for signs of allergic or adverse reactions

c)

The nurse has naloxone available to administer for respiratory depression of the neonate

d)

The nurse has an emesis basin available in the event of nausea and vomiting

e)

The nurse observes the newborn for respiratory depression if birth occurs within 6 to 8 hr of dose

33.

Men taking phosphodiesterase (PDE) inhibitors should be counseled that:

a)

they do not require sexual arousal to cause erections

b)

they should be taken at least 6 h before anticipated sexual activity

c)

they may potentiate the effects of alpha-blockers

d)

their effects often last 36 or more hours

34.

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

a)

Influenza

b)

Hypertension

c)

Smoking more than 15 cigarettes a day

d)

Diabetes mellitus

e)

Normal body weight

35.

When a client has been administered oxytocin for the induction of labor, which of the following is requried?

a)

Constant maternal and fetal monitoring

b)

Monitoring of blood glucose level

c)

Oxygen

d)

Mask and gloves