ATI PHARMACOLOGY SAUNDERS STUDY GUIDE QUESTIONS
AND ANSWERS WITH RATIONALE graded A+
Week 1: Chapter 35 “Maternity and Newborn Medications”
Questions Answers and Rationales
1. The nurse is monitoring a client who 1. Fatigue
is receiving oxytocin (Pitocin) to 2. Drowsiness
induce labor. Which assessment 3. Uterine hyperstimulation
finding would cause the nurse to 4. Early decelerations of the fetal heart rate
immediately discontinue the
oxytocin infusion? Rationale: Often used to induce labor. High doses
are often used for uterine hyperstimulation & C/S
births. ADVERSE EFFECTS: Hyperstimulation of
uterine contractions & non-reassuring fetal HR
DISCONTINUE
2. A pregnant client is receiving 1. Proteinuria of 3 +
magnesium sulfate for the 2. Respirations of 10 breaths/ minute
management of preeclampsia. The 3. Presence of deep tendon reflexes
nurse determines that the client is 4. Serum magnesium level of 6 mEq/ L
experiencing toxicity from the
medication if which finding is noted Rationale: Mg TOXICITY RESP. DEPRESSION,
on assessment? LOSS OF TENDON REFLEXES & SUDDEN
DECLINE IN
FETAL HR, MATERNAL HR, & BP caused by Mg tx.
Must remain within therapeutic serum levels 4–7.5
mEq/L. Proteinuria 3+ is expected in a pt w/
preeclampsia.
ATI PHARMACOLOGY SAUNDERS STUDY GUIDE QUESTIONS
AND ANSWERS WITH RATIONALE graded A+
,ATI PHARMACOLOGY SAUNDERS STUDY GUIDE QUESTIONS
AND ANSWERS WITH RATIONALE graded A+
3. The nurse is monitoring a client in 1. Flushing
preterm labor who is receiving 2. Hypertension
intravenous magnesium sulfate. 3. Increased urine
The nurse should monitor for which output 4. Depressed
adverse effects of this medication? respirations
Select all that apply. 5. Extreme muscle weakness
6. Hyperactive deep tendon reflexes
Rationale: Mg sulfate is a CNS depressant that
relaxes smooth muscles like the uterus. It’s used to
STOP preterm labor contractions and for
preeclampsia pts. to PREVENT SEIZURES. ADVERSE
EFFECTS:
• Flushing
• Depressed respirations
• Depressed deep tendon reflexes
• Hypotension
• Extreme muscle weakness
• Decreased urine output
• Pulmonary Edema
• Elevated Mg serum levels
ATI PHARMACOLOGY SAUNDERS STUDY GUIDE QUESTIONS
AND ANSWERS WITH RATIONALE graded A+
,ATI PHARMACOLOGY SAUNDERS STUDY GUIDE QUESTIONS
AND ANSWERS WITH RATIONALE graded A+
4. The nurse instructor asks a nursing 1. “I will flush the eyes after instilling the ointment?”
student to describe the procedure
for administering erythromycin 2. “I will clean the newborn’s eyes before
ointment to the eyes of a newborn. instilling ointment.”
Which student statement indicates
that further teaching is needed? 3. “I need to administer the eye ointment within 1
hr. after delivery.”
4. “I will instill the eye ointment into each of the
NB’s conjunctiva sacs.”
Rationale: Eye prophylaxis protects the NB
against Neisseria gonorrhea & Chlamydia
trachomatis. The eyes are NOT FLUSHED AFTER
INSTILLATION of
med because the flush would WASH AWAY the
administered medication.
5. A client in preterm labor (31 1. Nalbuphine (Nubain)
weeks) who is dilated to 4 cm has 2. Betamethasone (Celestone)
been started on magnesium sulfate 3. Rho(D) immune globulin (RhoGAM)
and contractions have stopped. If 4. Dinoprostone (Cervidil vaginal insert)
the client’s labor can be inhibited
for the next 48 hours, the nurse Rationale: Betamethasone, a glucocorticoid
anticipates a prescription for which increases the production of surfactant to stimulate
medication? fetal lung maturation. It is administered to clients in
preterm labor at 28 to 32 weeks of gestation if the
labor can be inhibited for 48 hours.
Nalbuphine (Nubain) is an opioid analgesic.
Rho(D) immune globulin (RhoGAM) is given to
Rh-
negative clients to prevent immunological condition
aka Rh disease (hemolytic disease of NB); it takes out
the + cells that were transported from maternal
blood stream fetal circulation.
Dinoprostone (Cervidil vaginal insert) is a
prostaglandin given to ripen and soften the cervix
and to stimulate uterine contractions.
ATI PHARMACOLOGY SAUNDERS STUDY GUIDE QUESTIONS
AND ANSWERS WITH RATIONALE graded A+
, ATI PHARMACOLOGY SAUNDERS STUDY GUIDE QUESTIONS
AND ANSWERS WITH RATIONALE graded A+
6. Methylergonovine (Methergine) is 1. Uterine tone
prescribed for a woman to treat 2. Blood pressure ABC!!!
postpartum hemorrhage. Before 3. Amount of lochia
administration of 4. Deep tendon reflexes
methylergonovine, what is the
priority nursing assessment? Rationale: Methylergonovine is an ERGOT ALKALOID
prevents or controls postpartum hemorrhage by
contracting the uterus. This med continuous
uterine contractions and can elevate BP CHECK BP
report to MD if HTN is present
ATI PHARMACOLOGY SAUNDERS STUDY GUIDE QUESTIONS
AND ANSWERS WITH RATIONALE graded A+
AND ANSWERS WITH RATIONALE graded A+
Week 1: Chapter 35 “Maternity and Newborn Medications”
Questions Answers and Rationales
1. The nurse is monitoring a client who 1. Fatigue
is receiving oxytocin (Pitocin) to 2. Drowsiness
induce labor. Which assessment 3. Uterine hyperstimulation
finding would cause the nurse to 4. Early decelerations of the fetal heart rate
immediately discontinue the
oxytocin infusion? Rationale: Often used to induce labor. High doses
are often used for uterine hyperstimulation & C/S
births. ADVERSE EFFECTS: Hyperstimulation of
uterine contractions & non-reassuring fetal HR
DISCONTINUE
2. A pregnant client is receiving 1. Proteinuria of 3 +
magnesium sulfate for the 2. Respirations of 10 breaths/ minute
management of preeclampsia. The 3. Presence of deep tendon reflexes
nurse determines that the client is 4. Serum magnesium level of 6 mEq/ L
experiencing toxicity from the
medication if which finding is noted Rationale: Mg TOXICITY RESP. DEPRESSION,
on assessment? LOSS OF TENDON REFLEXES & SUDDEN
DECLINE IN
FETAL HR, MATERNAL HR, & BP caused by Mg tx.
Must remain within therapeutic serum levels 4–7.5
mEq/L. Proteinuria 3+ is expected in a pt w/
preeclampsia.
ATI PHARMACOLOGY SAUNDERS STUDY GUIDE QUESTIONS
AND ANSWERS WITH RATIONALE graded A+
,ATI PHARMACOLOGY SAUNDERS STUDY GUIDE QUESTIONS
AND ANSWERS WITH RATIONALE graded A+
3. The nurse is monitoring a client in 1. Flushing
preterm labor who is receiving 2. Hypertension
intravenous magnesium sulfate. 3. Increased urine
The nurse should monitor for which output 4. Depressed
adverse effects of this medication? respirations
Select all that apply. 5. Extreme muscle weakness
6. Hyperactive deep tendon reflexes
Rationale: Mg sulfate is a CNS depressant that
relaxes smooth muscles like the uterus. It’s used to
STOP preterm labor contractions and for
preeclampsia pts. to PREVENT SEIZURES. ADVERSE
EFFECTS:
• Flushing
• Depressed respirations
• Depressed deep tendon reflexes
• Hypotension
• Extreme muscle weakness
• Decreased urine output
• Pulmonary Edema
• Elevated Mg serum levels
ATI PHARMACOLOGY SAUNDERS STUDY GUIDE QUESTIONS
AND ANSWERS WITH RATIONALE graded A+
,ATI PHARMACOLOGY SAUNDERS STUDY GUIDE QUESTIONS
AND ANSWERS WITH RATIONALE graded A+
4. The nurse instructor asks a nursing 1. “I will flush the eyes after instilling the ointment?”
student to describe the procedure
for administering erythromycin 2. “I will clean the newborn’s eyes before
ointment to the eyes of a newborn. instilling ointment.”
Which student statement indicates
that further teaching is needed? 3. “I need to administer the eye ointment within 1
hr. after delivery.”
4. “I will instill the eye ointment into each of the
NB’s conjunctiva sacs.”
Rationale: Eye prophylaxis protects the NB
against Neisseria gonorrhea & Chlamydia
trachomatis. The eyes are NOT FLUSHED AFTER
INSTILLATION of
med because the flush would WASH AWAY the
administered medication.
5. A client in preterm labor (31 1. Nalbuphine (Nubain)
weeks) who is dilated to 4 cm has 2. Betamethasone (Celestone)
been started on magnesium sulfate 3. Rho(D) immune globulin (RhoGAM)
and contractions have stopped. If 4. Dinoprostone (Cervidil vaginal insert)
the client’s labor can be inhibited
for the next 48 hours, the nurse Rationale: Betamethasone, a glucocorticoid
anticipates a prescription for which increases the production of surfactant to stimulate
medication? fetal lung maturation. It is administered to clients in
preterm labor at 28 to 32 weeks of gestation if the
labor can be inhibited for 48 hours.
Nalbuphine (Nubain) is an opioid analgesic.
Rho(D) immune globulin (RhoGAM) is given to
Rh-
negative clients to prevent immunological condition
aka Rh disease (hemolytic disease of NB); it takes out
the + cells that were transported from maternal
blood stream fetal circulation.
Dinoprostone (Cervidil vaginal insert) is a
prostaglandin given to ripen and soften the cervix
and to stimulate uterine contractions.
ATI PHARMACOLOGY SAUNDERS STUDY GUIDE QUESTIONS
AND ANSWERS WITH RATIONALE graded A+
, ATI PHARMACOLOGY SAUNDERS STUDY GUIDE QUESTIONS
AND ANSWERS WITH RATIONALE graded A+
6. Methylergonovine (Methergine) is 1. Uterine tone
prescribed for a woman to treat 2. Blood pressure ABC!!!
postpartum hemorrhage. Before 3. Amount of lochia
administration of 4. Deep tendon reflexes
methylergonovine, what is the
priority nursing assessment? Rationale: Methylergonovine is an ERGOT ALKALOID
prevents or controls postpartum hemorrhage by
contracting the uterus. This med continuous
uterine contractions and can elevate BP CHECK BP
report to MD if HTN is present
ATI PHARMACOLOGY SAUNDERS STUDY GUIDE QUESTIONS
AND ANSWERS WITH RATIONALE graded A+
