Medications for maternity
A client is diagnosed with gestational hypertension and is receiving
magnesium sulfate. Which finding would the nurse interpret as indicating a
therapeutic level of medication?
A) Urinary output of 20 mL per hour
B) Respiratory rate of 10 breaths/minute
C) Deep tendons reflexes 2+
D) Difficulty in arousing - ANSWER>>>C) Deep tendons reflexes 2+
2 is good.
0 there isnt a reflex.
4 has too much reflex
Which of the following would the nurse have readily available for a client
who is receiving magnesium sulfate to treat severe preeclampsia?
A) Calcium gluconate
B) Potassium chloride
C) Ferrous sulfate
D) Calcium carbonate - ANSWER>>>A) Calcium gluconate
A woman is receiving magnesium sulfate as part of her treatment for
severe preeclampsia. The nurse is monitoring the womans serum
magnesium levels. Which level would the nurse identify as therapeutic?
A) 3.3 mEq/L
B) 6.1 mEq/L
C) 8.4 mEq/L
D) 10.8 mEq/L - ANSWER>>>B) 6.1 mEq/L
4-7
A woman with preterm labor is receiving magnesium sulfate. Which finding
would require the nurse to intervene immediately?
A) Respiratory rate of 16 breaths per minute
B) Diminished deep tendon reflexes
C) Urine output of 45 mL/hour
, D) Alert level of consciousness - ANSWER>>>B) Diminished deep tendon
reflexes
A woman diagnosed with preeclampsia is to receive
magnesium sulfate. The rationale for this drug is to:
a. Reduce CNS irritability to prevent seizures
b. Provide supplementation of an important mineral
she needs
c. Prevent constipation during and after the birthing
process
d. Decrease musculoskeletal tone to augment labor - ANSWER>>>a.
Reduce CNS irritability to prevent seizures
A pregnant woman is receiving misoprostol (cytotec) to ripen her cervix and
induce labor. The nurse assesses the woman closely for which of the
following?
A) Uterine hyperstimulation
B) Headache
C) Blurred vision
D) Hypotension - ANSWER>>>A) Uterine hyperstimulation
A postpartum woman is ordered to receive oxytocin to stimulate the uterus
to contract. Which of the following would be most important for the nurse to
do?
A) Administer the drug as an IV bolus injection.
B) Give as a vaginal or rectal suppository.
C) Piggyback the IV infusion into a primary line.
D) Withhold the drug if the woman is hypertensive. - ANSWER>>>C)
Piggyback the IV infusion into a primary line.
A woman in labor is experiencing hypotonic uterine dysfunction.
Assessment reveals no fetopelvic disproportion. Which group of
medications would the nurse expect to administer?
A) Sedatives
B) Tocolytics
C) Oxytocins
D) Corticosteroids - ANSWER>>>C) Oxytocins
A client is diagnosed with gestational hypertension and is receiving
magnesium sulfate. Which finding would the nurse interpret as indicating a
therapeutic level of medication?
A) Urinary output of 20 mL per hour
B) Respiratory rate of 10 breaths/minute
C) Deep tendons reflexes 2+
D) Difficulty in arousing - ANSWER>>>C) Deep tendons reflexes 2+
2 is good.
0 there isnt a reflex.
4 has too much reflex
Which of the following would the nurse have readily available for a client
who is receiving magnesium sulfate to treat severe preeclampsia?
A) Calcium gluconate
B) Potassium chloride
C) Ferrous sulfate
D) Calcium carbonate - ANSWER>>>A) Calcium gluconate
A woman is receiving magnesium sulfate as part of her treatment for
severe preeclampsia. The nurse is monitoring the womans serum
magnesium levels. Which level would the nurse identify as therapeutic?
A) 3.3 mEq/L
B) 6.1 mEq/L
C) 8.4 mEq/L
D) 10.8 mEq/L - ANSWER>>>B) 6.1 mEq/L
4-7
A woman with preterm labor is receiving magnesium sulfate. Which finding
would require the nurse to intervene immediately?
A) Respiratory rate of 16 breaths per minute
B) Diminished deep tendon reflexes
C) Urine output of 45 mL/hour
, D) Alert level of consciousness - ANSWER>>>B) Diminished deep tendon
reflexes
A woman diagnosed with preeclampsia is to receive
magnesium sulfate. The rationale for this drug is to:
a. Reduce CNS irritability to prevent seizures
b. Provide supplementation of an important mineral
she needs
c. Prevent constipation during and after the birthing
process
d. Decrease musculoskeletal tone to augment labor - ANSWER>>>a.
Reduce CNS irritability to prevent seizures
A pregnant woman is receiving misoprostol (cytotec) to ripen her cervix and
induce labor. The nurse assesses the woman closely for which of the
following?
A) Uterine hyperstimulation
B) Headache
C) Blurred vision
D) Hypotension - ANSWER>>>A) Uterine hyperstimulation
A postpartum woman is ordered to receive oxytocin to stimulate the uterus
to contract. Which of the following would be most important for the nurse to
do?
A) Administer the drug as an IV bolus injection.
B) Give as a vaginal or rectal suppository.
C) Piggyback the IV infusion into a primary line.
D) Withhold the drug if the woman is hypertensive. - ANSWER>>>C)
Piggyback the IV infusion into a primary line.
A woman in labor is experiencing hypotonic uterine dysfunction.
Assessment reveals no fetopelvic disproportion. Which group of
medications would the nurse expect to administer?
A) Sedatives
B) Tocolytics
C) Oxytocins
D) Corticosteroids - ANSWER>>>C) Oxytocins
