D447-Women& Children’s Questions With Complete
Solutions
A patient at 40 weeks gestation is admitted for labor induction
due to gestational hypertension. The provider orders oxytocin
(Pitocin) to begin at 2 milliunits/min and increase by 2 milliunits
every 30 minutes until contractions are adequate.
Question 2: Which nursing actions are appropriate for oxytocin
administration? (Select All That Apply)
Monitor uterine contraction frequency, duration, and intensity
every 15 minutes.
Discontinue oxytocin if late decelerations are observed.Maintain
continuous fetal heart rate monitoring throughout the infusion.
A parent is asking about milestones their baby should reach by
12 months. Which of the following are expected? Select all that
apply.
The baby can self-feed with a spoon or hands.
The baby can pick up small foods using their thumb and
forefinger.
The baby eats mashed or chopped table foods.
The baby sleeps through the night without waking to feed.
The baby begins weaning off breast milk or formula.
A parent asks how to recognize if their baby is ready for solid
foods. Which signs of readiness should the nurse include in the
teaching? Select all that apply.
The baby can sit upright with little or no support. The baby
shows interest in food by opening their mouth or reaching for it.
,The baby has lost the tongue-thrust reflex.The baby can control
their head and neck movements.
A patient is to receive Pitocin 10 units in 500 mL of normal
saline. The infusion rate should be set to 6 mU/min. What is the
IV rate in mL/hr?
18 mL/hr.
A patient is receiving a maintenance dose of Magnesium Sulfate
at a rate of 2 grams per hour. The available concentration is 50
grams in 1000 mL. What is the IV infusion rate in mL/hr?
40 mL/hr.
A client's AFP test results are reported as elevated. Which of the
following are potential causes for an elevated AFP? (Select all
that apply.)Rationale: Elevated AFP can indicate neural tube
defects, abdominal wall defects (such as omphalocele or
gastroschisis), or multiple gestation. It is not typically associated
with chromosomal abnormalities (like Down syndrome), and
placental abruption is not linked to elevated AFP.
Neural tube defects,Abdominal wall defects,Multiple
gestation(pregnancies)
A pregnant woman with HIV is seen at 32 weeks gestation.
Which of the following actions should the healthcare team take
to reduce the risk of HIV transmission to the fetus? (Select all
that apply.)Rationale: ART should be continued throughout
pregnancy to reduce the viral load. A cesarean section is
recommended if the viral load is >1000 copies/mL to reduce
,transmission risk during delivery. Zidovudine should be given to
the newborn to prevent transmission. Breastfeeding is
contraindicated because the virus can be transmitted through
breast milk, and elective induction is not typically
contraindicated unless there are other complications.
Administer antiretroviral therapy (ART) throughout
pregnancy.Perform a cesarean section if viral load is >1000
copies/mL.Administer zidovudine to the infant after birth.
Which of the following actions are appropriate for managing
gestational diabetes? (Select all that apply.)Rationale: Dietary
changes, blood glucose monitoring, and exercise are all essential
in managing gestational diabetes. Insulin therapy is required if
blood glucose is not controlled. Metformin is typically not used
in gestational diabetes; insulin is the mainstay. The oral glucose
tolerance test is usually only performed once at 24-28 weeks
unless the initial result is unclear or abnormal.
Initiating dietary changes and regular blood glucose
monitoring.Insulin therapy may be required if blood glucose
levels are not controlled.Recommending regular exercise to
improve insulin sensitivity
A pregnant woman is diagnosed with preeclampsia. Which of
the following are common symptoms of preeclampsia? (Select
all that apply.)Rationale:Preeclampsia is characterized by high
blood pressure, proteinuria, edema, and signs of organ damage,
including visual disturbances and severe headache. All of these
symptoms are typical of preeclampsia.
, Hypertension,Proteinuria, Edema in the face and hands, Visual
disturbances,Severe headache.
A pregnant woman in preterm labor is receiving betamethasone
and terbutaline. Which of the following are potential effects of
these medications? (Select all that apply.)Rationale:
Betamethasone is a corticosteroid used to enhance fetal lung
maturity in preterm labor. It also increases the risk of infection.
Terbutaline is a tocolytic that relaxes the uterine muscles to
delay labor. It does not promote cervical dilation.
Betamethasone does not reduce uterine contractions.
Betamethasone enhances fetal lung maturity.Betamethasone
may increase the risk of infection.Terbutaline relaxes the uterine
muscles
A nurse is caring for a patient in preterm labor. Which
medications should the nurse anticipate being prescribed for this
patient? (Select all that apply.)Rationale: Magnesium sulfate is
used to prevent seizures in preeclampsia and can be used as a
tocolytic in preterm labor. Betamethasone promotes fetal lung
maturity. Terbutaline is a tocolytic to reduce uterine
contractions. Labetalol is used for hypertension management,
and methylergonovine is used to treat postpartum hemorrhage,
not preterm labor.
Magnesium sulfate,Betamethasone&Terbutaline
After delivery, an infant born to an HIV-positive mother
requires specific care to prevent HIV transmission. Which of the
following are important aspects of care for the newborn?
Rationale: The infant should receive zidovudine for 6 weeks to
Solutions
A patient at 40 weeks gestation is admitted for labor induction
due to gestational hypertension. The provider orders oxytocin
(Pitocin) to begin at 2 milliunits/min and increase by 2 milliunits
every 30 minutes until contractions are adequate.
Question 2: Which nursing actions are appropriate for oxytocin
administration? (Select All That Apply)
Monitor uterine contraction frequency, duration, and intensity
every 15 minutes.
Discontinue oxytocin if late decelerations are observed.Maintain
continuous fetal heart rate monitoring throughout the infusion.
A parent is asking about milestones their baby should reach by
12 months. Which of the following are expected? Select all that
apply.
The baby can self-feed with a spoon or hands.
The baby can pick up small foods using their thumb and
forefinger.
The baby eats mashed or chopped table foods.
The baby sleeps through the night without waking to feed.
The baby begins weaning off breast milk or formula.
A parent asks how to recognize if their baby is ready for solid
foods. Which signs of readiness should the nurse include in the
teaching? Select all that apply.
The baby can sit upright with little or no support. The baby
shows interest in food by opening their mouth or reaching for it.
,The baby has lost the tongue-thrust reflex.The baby can control
their head and neck movements.
A patient is to receive Pitocin 10 units in 500 mL of normal
saline. The infusion rate should be set to 6 mU/min. What is the
IV rate in mL/hr?
18 mL/hr.
A patient is receiving a maintenance dose of Magnesium Sulfate
at a rate of 2 grams per hour. The available concentration is 50
grams in 1000 mL. What is the IV infusion rate in mL/hr?
40 mL/hr.
A client's AFP test results are reported as elevated. Which of the
following are potential causes for an elevated AFP? (Select all
that apply.)Rationale: Elevated AFP can indicate neural tube
defects, abdominal wall defects (such as omphalocele or
gastroschisis), or multiple gestation. It is not typically associated
with chromosomal abnormalities (like Down syndrome), and
placental abruption is not linked to elevated AFP.
Neural tube defects,Abdominal wall defects,Multiple
gestation(pregnancies)
A pregnant woman with HIV is seen at 32 weeks gestation.
Which of the following actions should the healthcare team take
to reduce the risk of HIV transmission to the fetus? (Select all
that apply.)Rationale: ART should be continued throughout
pregnancy to reduce the viral load. A cesarean section is
recommended if the viral load is >1000 copies/mL to reduce
,transmission risk during delivery. Zidovudine should be given to
the newborn to prevent transmission. Breastfeeding is
contraindicated because the virus can be transmitted through
breast milk, and elective induction is not typically
contraindicated unless there are other complications.
Administer antiretroviral therapy (ART) throughout
pregnancy.Perform a cesarean section if viral load is >1000
copies/mL.Administer zidovudine to the infant after birth.
Which of the following actions are appropriate for managing
gestational diabetes? (Select all that apply.)Rationale: Dietary
changes, blood glucose monitoring, and exercise are all essential
in managing gestational diabetes. Insulin therapy is required if
blood glucose is not controlled. Metformin is typically not used
in gestational diabetes; insulin is the mainstay. The oral glucose
tolerance test is usually only performed once at 24-28 weeks
unless the initial result is unclear or abnormal.
Initiating dietary changes and regular blood glucose
monitoring.Insulin therapy may be required if blood glucose
levels are not controlled.Recommending regular exercise to
improve insulin sensitivity
A pregnant woman is diagnosed with preeclampsia. Which of
the following are common symptoms of preeclampsia? (Select
all that apply.)Rationale:Preeclampsia is characterized by high
blood pressure, proteinuria, edema, and signs of organ damage,
including visual disturbances and severe headache. All of these
symptoms are typical of preeclampsia.
, Hypertension,Proteinuria, Edema in the face and hands, Visual
disturbances,Severe headache.
A pregnant woman in preterm labor is receiving betamethasone
and terbutaline. Which of the following are potential effects of
these medications? (Select all that apply.)Rationale:
Betamethasone is a corticosteroid used to enhance fetal lung
maturity in preterm labor. It also increases the risk of infection.
Terbutaline is a tocolytic that relaxes the uterine muscles to
delay labor. It does not promote cervical dilation.
Betamethasone does not reduce uterine contractions.
Betamethasone enhances fetal lung maturity.Betamethasone
may increase the risk of infection.Terbutaline relaxes the uterine
muscles
A nurse is caring for a patient in preterm labor. Which
medications should the nurse anticipate being prescribed for this
patient? (Select all that apply.)Rationale: Magnesium sulfate is
used to prevent seizures in preeclampsia and can be used as a
tocolytic in preterm labor. Betamethasone promotes fetal lung
maturity. Terbutaline is a tocolytic to reduce uterine
contractions. Labetalol is used for hypertension management,
and methylergonovine is used to treat postpartum hemorrhage,
not preterm labor.
Magnesium sulfate,Betamethasone&Terbutaline
After delivery, an infant born to an HIV-positive mother
requires specific care to prevent HIV transmission. Which of the
following are important aspects of care for the newborn?
Rationale: The infant should receive zidovudine for 6 weeks to
