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WorksheetsMaternal and Neonatal Nursing Quiz
Total questions: 55
Worksheet time: 29mins
A client receiving oxytocin (Pitocin) for induction of labor should be closely monitored for which complication?
Fetal bradycardia
Uterine hyperstimulation
Hypotension
Fetal movement increase
Which of the following medications is contraindicated in clients with asthma?
Pitocin
Cytotec
Hemabate
Methergine
Which medications are used to control postpartum hemorrhage?
Pitocin
Hemabate
Cytotec
Duramorph
Methergine
Cytotec (Misoprostol) is given rectally after delivery primarily to:
Relieve perineal pain
Promote uterine relaxation
Increase uterine tone and reduce bleeding
Prevent infection
Before administering Methergine (Methylergonovine), the nurse should assess:
Blood pressure
Temperature
Pain scale
Pulse oximetry
A woman undergoing cesarean section is given sodium citrate before surgery. The nurse understands this drug:
Stimulates uterine contractions
Prevents nausea
Neutralizes gastric acid to prevent aspiration
Reduces postoperative pain
The nurse knows Penicillin G is administered prior to cesarean delivery to:
Prevent uterine relaxation
Prevent postoperative infection
Promote bowel movement
Decrease anxiety
If the client is allergic to Penicillin, which medication is typically substituted?
Nubain
Ampicillin
Fentanyl
Zofran
The nurse monitors a patient after Duramorph (epidural morphine) for which priority complication?
Hypertension
Respiratory depression
Tachycardia
Urinary retention
Which drug is used to reverse the respiratory effects of Duramorph?
Calcium gluconate
Naloxone
Methergine
Betamethasone
Which nursing interventions apply after administering Duramorph?
Monitor respirations hourly
Keep naloxone available
Encourage ambulation immediately
Assess for itching
Monitor sedation level
Nitrous oxide is most accurately described as:
IV opioid analgesic
Self-administered inhaled analgesic
Epidural anesthetic
Uterine stimulant
The nurse instructs the client that Nubain (Nalbuphine) should not be administered within 1 hour of delivery because it can cause:
Uterine hypertonicity
Neonatal respiratory depression
Postpartum hemorrhage
Seizures
The nurse prepares lidocaine for an episiotomy repair. The purpose of this medication is to:
Induce labor
Provide local anesthesia
Control postpartum bleeding
Prevent infection
The nurse monitors a client receiving magnesium sulfate for preeclampsia. Which finding requires immediate intervention?
BP 120/80 mmHg
Urine output 40 mL/hr
Respiratory rate 8/min
DTRs 2+
The antidote for magnesium sulfate toxicity is:
Protamine sulfate
Calcium gluconate
Vitamin K
Naloxone
The physician orders 40 units of Pitocin in 400 mL IV fluid. Each vial contains 10 units. How many vials are needed?
2
3
4
5
Administer a 4 g loading dose of magnesium sulfate over 30 minutes. The IV bag contains 40 g in 1000 mL. What is the infusion rate?
100 mL/hr
200 mL/hr
400 mL/hr
50 mL/hr
After the loading dose, magnesium sulfate should infuse at 2 g/hr. Using the same concentration (40 g/1000 mL), what is the hourly rate?
25 mL/hr
50 mL/hr
75 mL/hr
100 mL/hr
A mother rates her pain as 8/10 postpartum. The order reads Percocet 325–650 mg PRN. What dose should the nurse administer?
325 mg
650 mg
975 mg
Hold the dose
Which medications are narcotic analgesics?
Morphine
Percocet
Fentanyl
Ibuprofen
Toradol
Which drug is not safe to administer to a hypertensive patient?
Methergine
Cytotec
Pitocin
Penicillin
A postpartum woman complains of uterine cramping while breastfeeding. Which medication should the nurse administer?
Iron
Ibuprofen
Cytotec
Colace
Toradol (Ketorolac) should not exceed which total daily dose in adults?
40 mg
80 mg
120 mg
160 mg
Colace (Docusate) is most important postpartum because it:
Reduces uterine bleeding
Relieves perineal pain
Softens stool to prevent straining
Prevents infection
RhoGam should be administered:
Within 72 hrs postpartum to Rh-negative moms with Rh-positive infants
Which statement shows correct teaching for oral iron (ferrous sulfate)?
Take with milk
It won’t affect stools
Take with vitamin C (e.g., orange juice)
Stop if stools darken
The purpose of Vitamin K (phytonadione) given after birth is to:
Boost immunity
Treat infection
Aid digestion
Promote clotting and prevent hemorrhagic disease
Erythromycin eye ointment in the newborn primarily prevents:
RSV
Candida
Gonococcal/
chlamydial ophthalmia
Group B strep sepsis
Betamethasone/dexamethasone are given to mothers at risk of preterm birth to:
Lower maternal BP
Decrease anxiety
Accelerate fetal lung maturity
Delay labor indefinitely
Which are routes of administration for misoprostol?
Oral
Vaginal
Rectal
Intravenous
Which finding indicates effective oxytocin therapy postpartum?
Boggy uterus, heavy lochia
Firm fundus with decreasing lochia
Elevated BP
Severe headache
Zofran (ondansetron) is used in OB primarily to:
Treat hypertension
Prevent/treat nausea
Induce labor
Control bleeding
Which adverse effect is most associated with neuraxial Duramorph?
Hyperglycemia
Pruritus
Urinary frequency
Hypertension
Order: Ketorolac 30 mg IV q6h PRN, patient has already received 90 mg in the past 24 hr. How many additional mgmay be given in the next 24 hr without exceeding the max?
10 mg
30 mg
60 mg
0 mg
Which teaching is correct for prenatal vitamins postpartum?
Stop once breastfeeding starts
Continue daily to support recovery and milk nutrients
Take only with iron
Skip on days with pain meds
Which is a priority assessment for a mother receiving magnesium sulfate?
Bowel sounds
Deep tendon reflexes and respiratory rate
Capillary refill
Fundal height
Which statement about nitrous oxide in labor is true?
Requires continuous provider dosing
Patient self-administers via mask during contractions
Causes prolonged neonatal sedation
Must be combined with opioids
Morphine 2–5 mg IV is ordered for post-cesarean pain. Which parameter is most critical before dosing?
Temperature
Respiratory rate and sedation level
Bowel sounds
Fundal position
Which uterotonic can be injected directly into the uterus during cesarean if needed?
Oxytocin
Nubain
Toradol
Iron
Key nursing instructions for iron therapy include
Expect dark stools
Use stool softener or prunes if constipated
Take with vitamin C
Take with milk for absorption
Stop if stools change color
Which medication is self-administered and inhaled for labor pain?
Fentanyl
Nubain
Nitrous oxide
Lidocaine
Methergine is ordered, but the patient’s BP is 158/96. The nurse should:
Administer and recheck BP later
Give half dose
Hold and notify the provider
Give with IV fluids
Naloxone should be given in mothers who received Duramorph only:
As a routine postpartum med
After breastfeeding
With a direct order or if respiratory depression occurs
If family requests it
Order: Percocet 325–650 mg PO q4–6h PRN. Each tablet contains 325 mg acetaminophen. Patient requests the maximum dose now. How many tablets is that?
1
2
3
4
Which adverse effect is most concerning after ketorolac?
Constipation
Bleeding/renal impairment
Rash
Cough
A newborn receives Vitamin K IM shortly after birth. The nurse documents the site as:
Deltoid
Dorsogluteal
Vastus lateralis
Ventrogluteal
Which statement about erythromycin eye ointment application is correct?
Applied only to one eye
Apply a thin ribbon into each eye
Rinse immediately after
Apply deep into the conjunctival sac with pressure
Priority education for oxytocin infusion includes:
Continuous fetal heart rate monitoring
Titrate based on uterine activity
Increase rapidly if contractions space out to 1–2 min (unsafe)
Stop infusion for tachysystole or non-reassuring FHR
Ignore patient reports of severe pain
In severe preeclampsia on magnesium sulfate, the nurse should keep which medication readily available at the bedside?
Oxytocin
Calcium gluconate
Naloxone
Ketorolac
Cytotec 600 mcg rectally is ordered for postpartum hemorrhage. The available tablets are 200 mcg each. How many tablets should be administered?
2
3
4
5
The nurse is preparing to administer Hemabate 250 mcg IM. The vial is labeled 250 mcg/mL. How many mL should the nurse draw up?
The physician orders Nubain 10 mg IV. The vial label states 20 mg/mL. How many mL should the nurse draw up?
Magnesium sulfate 40 g in 1000 mL IV. The order is to give 1 g/hr. What rate should the IV pump be set to?
Percocet 5 mg/325 mg PO is prescribed q6h PRN. The client requests pain medication for a 7/10 pain score. How many mg of acetaminophen will the client receive in 24 hours if they take 1 tab every 6 hours?
