Pharmacology - Reproductive_Maternity_Newborn Medications.txt

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bamaguh1988
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292699
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Pharmacology - Reproductive_Maternity_Newborn Medications.txt
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2015-01-08 17:24:32
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  1. A woman with preeclampsia is receiving magnesium sulfate. Which assessment finding indicates to the nurse that the magnesium sulfate therapy is effective?
    1. Scotomas are present.
    2. Seizures do not occur.
    3. Ankle clonus is noted.
    4. The blood pressure decreases.
    2. Seizures do not occur.
  2. On assessment, a newborn is exhibiting cyanosis, tachypnea, nasal flaring, and grunting. Respiratory distress syndrome is diagnosed, and the health care provider prescribes surfactant replacement therapy. Through which route should the nurse prepare to administer this medication?
    1. Orally mixed in water
    2. Intravenously through a burette
    3. Subcutaneously in the anterior thigh
    4. Endotracheally through the endotracheal tube
    4. Endotracheally through the endotracheal tube
  3. A client with severe preeclampsia is receiving intravenous magnesium sulfate. The nurse is reviewing the laboratory results and determines that which magnesium level is within the therapeutic range?
    1. 1 mg/dL
    2. 3 mg/dL
    3. 5 mg/dL
    4. 10 mg/dL
    3. 5 mg/dL
  4. A client diagnosed with severe preeclampsia is receiving magnesium sulfate by continuous intravenous infusion. Which assessment finding would indicate that the medication should be discontinued?
    1. Absence of deep tendon reflexes
    2. Respiratory rate of 16 breaths per minute
    3. Urinary output of 45 mL during the past hour
    4. Decrease in blood pressure from 180/100 mm Hg to 150/90 mm Hg
    1. Absence of deep tendon reflexes
  5. The senior nursing student is assigned to care for a client with severe preeclampsia who is receiving an intravenous infusion of magnesium sulfate. The co-assigned nurse asks the student to describe the actions and effects of this medication. Which statement, if made by the student, indicates the need for further teaching?
    1. "It decreases the frequency and duration of uterine contractions."
    2. "It increases acetylcholine, blocking neuromuscular transmission."
    3. "It decreases the central nervous system activity, acting as an anticonvulsant."
    4. "It produces flushing and sweating due to decreased peripheral blood pressure."
    2. "It increases acetylcholine, blocking neuromuscular transmission."
  6. A pregnant client seen in the prenatal clinic tells the nurse that the iron supplement started 1 week ago is causing nausea, constipation, and heartburn and that she would like to stop taking the medication. The nurse most appropriately responds by making which statement to the client?
    1. "The fetus needs the iron."
    2. "You need to stop the medication immediately."
    3. "You need to see the health care provider immediately."
    4. "These reactions are most prominent during initial therapy and lessen with continued use."
    4. "These reactions are most prominent during initial therapy and lessen with continued use."
  7. A pregnant client is receiving oxytocin (Pitocin) for the induction of labor. The nurse should immediately discontinue the Pitocin infusion if which is noted in the client?
    1. Uterine atony
    2. Severe drowsiness
    3. Uterine hyperstimulation
    4. Early decelerations of the fetal heart rate
    3. Uterine hyperstimulation
  8. A pregnant woman of 30 weeks' gestation is admitted to the maternity unit in preterm labor. The woman asks the nurse about the purpose of betamethasone, which has been prescribed by the obstetrician. The nurse should tell the client that the medication will promote which action?
    1. Delay delivery.
    2. Prevent membrane rupture.
    3. Enhance fetal lung maturity.
    4. Stop the premature uterine contractions.
    3. Enhance fetal lung maturity.
  9. The nurse in the postpartum unit notes that a new mother was given methylergonovine (Methergine) intramuscularly following delivery. What assessment finding indicates that the medication was effective?
    1. Lochia that is serous
    2. Normal blood pressure
    3. Decreased uterine bleeding
    4. Decreased uterine contractions
    3. Decreased uterine bleeding

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