NCLEX Pharmacology Quiz 35 Maternity And Newborn Medications
All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 15 minutes in this quiz.
- 1.A pregnant client is receiving magnesium sulfate therapy for the control of preeclampsia. A nurse discover that the client is encountering toxicity from the medication in which of the following assessment?
- A.
Urine output of 25 ml/hr.
- B.
The presence of deep tendon reflex.
- C.
Respirations of 10 breaths per minute.
- D.
Serum magnesium level of 7 mEq/L.
- 2.A student nurse was asked by the nurse instructor to explain the procedure for the administration of erythromycin ointment to the eyes of the newborn. Which of the following statements made by the student indicates a need for further research?
- A.
“I will instill the eye ointment into each of the newborn‘s conjunctival sacs.”
- B.
“I will flush the newborn‘s eyes after instilling the ointment.”
- C.
“I will clean the newborn‘s eyes before instilling the ointment.”
- D.
“I need to administer the eye ointment within an hour after maternal delivery.”
- 3.Rho(D) immune globulin (RhoGAM) is given to a pregnant woman after delivery and the nurse is giving information to the patient about the indication of the medication. The nurse determines that the patient understands the purpose of the medication if the patient tells that it will protect her baby from which of the following?
- A.
Developing German Measles.
- B.
Developing Pernicious anemia.
- C.
Developing Rh incompatibility.
- D.
Having an RH+ blood.
- 4.A pregnant woman who is having labor pains is receiving an opioid analgesic. Which of the following medications should be ready in case a respiratory depression occurs?
- A.
Naloxone (Narcan).
- B.
Oxycodone (Oxycontin).
- C.
Meperidine hydrochloride (Demerol).
- D.
Morphine sulfate.
- 5.Methylergonovine (Methergine) is prescribed to a patient who is having a postpartum bleeding. Prior giving the medication. the nurse contacts the physician who prescribed the medication if which of the following condition is documented in the patient’s chart?
- A.
Ischemic heart disease.
- B.
Diabetes Mellitus.
- C.
Acute Gastroenteritis.
- D.
Hypothyroidism.
- 6.A nurse instructor is about to administer a vitamin K injection to a newborn. The student nurse asks the instructor regarding the purpose of the injection. The appropriate response would be:
- A.
“The vitamin K provides active immunity.”
- B.
“The vitamin K will prevent the occurrence of hyperbilirubinemia.”
- C.
“The vitamin K will protect the newborn from bleeding.”
- D.
“The vitamin K will serve as protection against jaundice and anemia.”
- 7.A nurse is assigned to a patient who is receiving Oxytocin (Pitocin) to induce labor. The nurse terminates the oxycontin infusion if which of the following is noted on the assessment of the client?
- A.
Early decelerations of the fetal heart rate.
- B.
Fatigue.
- C.
Nausea.
- D.
Uterine hyperstimulation.
- 8.A client in preterm labor (32 weeks) who is dilated to 5cm has been given magnesium sulfate and the contractions have stopped. If the labor can be delayed for the next 2 days. which of the following medication does the nurse expect that will be prescribed?
- A.
Fentanyl (Sublimaze).
- B.
Sufentanil (Sufenta).
- C.
Betamethasone (Celestone).
- D.
Butorphanol tartrate (Stadol).
- 9.Which of the following laboratory test must be monitored for pregnant patients receiving dexamethasone?
- A.
Red blood cell count.
- B.
Serum Calcium.
- C.
Random blood sugar.
- D.
Uric acid.
- 10.Patellar reflex is being monitored for patients receiving magnesium sulfate therapy. When assessing the deep tendon reflex. which of the following grade pertains to diminished response?
- A.
Grade 0
- B.
Grade 1
- C.
Grade 2
- D.
Grade 4
- 11.Prior giving of Methylergonovine, what is the priority assessment for the nurse to check which of the following?
- A.
Deep tendon reflexes.
- B.
Urine output.
- C.
Blood pressure.
- D.
Vaginal bleeding.
- 12.A nurse is preparing to give a lung surfactant to a 36 weeks old baby with a respiratory distress syndrome. Which of the following is the correct route of administration?
- A.
Intratracheal.
- B.
Intramuscular.
- C.
Intradermal.
- D.
Intravenous.
- 13.A nurse is preparing to administer a Rubella vaccine to a client prior discharge home. Which of the following is not true regarding this vaccine?
- A.
Pain, redness, swelling, or a lump is some of the adverse reaction.
- B.
Given intramuscularly in the lateral aspect of the middle third of the vastus lateralis muscle.
- C.
The need to use of contraception after immunization.
- D.
Contraindicated in a client with an allergy to duck eggs.
- 14.A nurse is preparing Dinoprostone to a client to induce labor. Which of the following nursing intervention must be questioned?
- A.
Have the client hold void before administration.
- B.
Place the client on a side lying position for 30 to 60 minutes after the administration.
- C.
Monitor maternal vital signs.
- D.
Have the client void before administration.
- 15.Which one do you likA nurse is caring for a patient receiving oxytocin therapy suddenly is experiencing hypertonic contractions. Which of the following priority nursing actions should the nurse do? Select all that apply?
- A.
The nurse leaves the client to ask for help.
- B.
Stop the oxytocin infusion.
- C.
Increase the flow rate of the intravenous additive solution.
- D.
Place the client in the supine position.
- E.
Administer oxygen at 8 to 10 liters per minute.
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