HESI Maternity | Questions and Verified Answers with Rationales (2023/2024)

HESI Maternity | Questions and Verified Answers with Rationales (2023/2024) Q: Which ovulation stimulant with the nurse identify as being derived from the urine of postmenopausal woman? a. Oxytocin b. Clomiphene c. Menotropins d. Dinoprostone Answer: c. Menotropins Menotropins are a standardized mixture of follicle-stimulating hormones and luteinizing hormones. These chemicals are derived from the urine of postmenopausal women. Clomiphene is a synthetic ovulation stimulant. Oxytocin and dinoprostone are synthetic uterine stimulants. Q: Which drug is derived from a natural source and may be prescribed for the treatment of osteoporosis? a. calcitonin b. raloxifene c. clomiphene d. bisphosphonates Answer: a. calcitonin Calcitonin is derived from natural sources such as fish; this medication may be prescribed to prevent osteoporosis. Raloxifene is prescribed to prevent postmenopausal osteoporosis. Clomiphene is prescribed to induce ovulation. Bisphosphonates are prescribed to treat osteoporosis; this medication is not derived from natural sources. Q: Which hormone would the nurse identify as causing ovulation and promoting lactation? a. estrogen b. oxytocin c. progestin d. vasopressin Answer: b. oxytocin Oxytocin stimulates uterine contractions, aids in ovulation, and promotes the movement of milk from the mammary glands to the nipples in lactating moms. Estrogen and progesterone may cause ovulation but do not promote lactation. Vasopressin may help in the retention of water by the kidneys Q: Which medication used to promote fertility would the nurse identify as a potential cause of esophageal burns? a. Estrogen b. Clomiphene c. Nifedipine d. Indomethacin Answer: b. Clomiphene Clomiphene is a serum selective receptor modulator that may cause esophageal burns. Estrogen may cause a thromboembolism. Nifedipine may cause maternal-fetal problems. Indomethacin may cause birth defects Q: Which medication is it teratogen that may cause masculinization of a female fetus? a. Lithium b. Danazol c. nitrofuantoin d. carbamazepine Answer: b. Danazol Danazol is a teratogen that may cause masculinization of a female fetus. Lithium may cause cardiac defects. Nitrofurantoin may cause cleft lips with cleft palates. Carbamazepine may cause neural tube defects.