Question 1

The nurse would have the greatest concern about the use of dinoprostone (Prepidil) in a client with which of the following health problems?

Accepted Answer

A)   Diabetes mellitus
B)   Cardiac disease
C)   Rh-negative status
D)   Hypothyroidism

Question 2

The nurse would prepare to give a scheduled dose of methylergonovine (Methergine) to a client with which of the following problems?

Accepted Answer

A)   Premature labor
B)   Threatened abortion
C)   Difficulty with lactation
D)   Postpartum hemorrhage

Question 3

Ergonovine (Methergine) therapy is administered cautiously by the nurse when the client has which of the following conditions?

Accepted Answer

A)   Intrauterine infection
B)   Hypotension
C)   Intrauterine fetal death
D)   Cardiac disorders

Question 4

The nurse would closely monitor the client who is receiving ritodrine (Yutopar) for which of the following adverse effects?

Accepted Answer

A)   Dehydration
B)   Pulmonary edema
C)   Bradycardia
D)   Hypotension

Question 5

A client with a history of mood disorder is in premature labor.The client is being considered for drug therapy with ritodrine (Yutopar) .The nurse checks the client's medication history for evidence of which of the following types of drugs that would be a contraindication to ritodrine therapy?

Accepted Answer

A)   Tricyclic antidepressants
B)   Selective serotonin uptake inhibitors
C)   Monoamine oxidase inhibitors
D)   Lithium salts

Question 6

The labor and delivery nurse concludes that which of the following clients on the nursing unit would benefit from drug therapy with ergonovine (Ergotrate) ?

Accepted Answer

A)   A client with early postpartum hemorrhage
B)   A client who is having difficulty with lactation
C)   A client who had an episiotomy during birth
D)   A client with prolonged labor

Question 7

A client in labor is receiving an oxytocin (Pitocin) drip by the intravenous route.The nurse assesses the mother for which of the following adverse drug effects during the infusion?

Accepted Answer

A)   Jaundice
B)   Muscle twitching
C)   Nausea and vomiting
D)   Bradycardia

Question 8

The nurse anticipates that which of the following may alter the pharmacokinetics of drugs used for a client during labor and delivery?

Accepted Answer

A)   Enhanced gastric emptying
B)   Vomiting
C)   Urinary incontinence
D)   Hypertension

Question 9

The nurse determines an order for ritodrine (Yutopar) does not need to be questioned for a client with which of the following health problems?

Accepted Answer

A)   Cardiac disorders
B)   Intrauterine infection
C)   Cervical dilation of less than 4 cm
D)   Intrauterine fetal death

Question 10

A client has just had a dinoprostone vaginal system inserted.The nurse explains that the system will be removed when the client

Accepted Answer

A)   experiences vaginal tingling or burning.
B)   begins active labor.
C)   goes into transition in labor.
D)   delivers an infant.

Question 11

During administration of oxytocin (Pitocin) to a woman in labor,the nurse should plan to monitor drug effectiveness.This monitoring should include

Accepted Answer

A)   assessment of maternal and fetal vital signs at least every 15 minutes.
B)   assessment of the blood pressure and pulse during administration of the oxytocic agent.
C)   continuing the agent if uterine hyperactivity occurs.
D)   asking no questions about fetal movement except for those concerning age and parity.

Question 12

The nurse monitors the client's fluid and electrolyte status while administering oxytocin (Pitocin) for early detection of which of the following?

Accepted Answer

A)   Hypernatremia
B)   Hyperkalemia
C)   Hypochloremia
D)   Hypermagnesemia C

Question 13

The nurse assesses a client who received a dinoprostone (Cervidil) suppository for which of the following most common adverse effects?

Accepted Answer

A)   Hypothermia
B)   Tachycardia
C)   Headache
D)   Hypotension

Question 14

A client is beginning drug therapy with ritodrine (Yutopar) .The nurse explains to the client that the goal of drug therapy is to stop uterine contractions for at least how long?

Accepted Answer

A)   18 to 24 hours
B)   24 to 48 hours
C)   48 to 72 hours
D)   72 to 96 hours C

Question 15

A client in preterm labor has been started on an intravenous drip with magnesium sulfate.The nurse plans to monitor which of the following every hour?

Accepted Answer

A)   Maternal vital signs
B)   Fetal heart rate
C)   Breath sounds
D)   Deep tendon reflexes D

Question 16

A client who gave birth would benefit from drug therapy with oxytocin (Syntocinon) to stimulate lactation.The nurse would instruct the client to take the medication at which of the following times?

Accepted Answer

A)   Twice daily,morning and night
B)   Every 6 hours around the clock
C)   1 hour after nursing the infant
D)   Before nursing the infant

Question 17

A client is beginning oral drug therapy with ergonovine (Ergotrate) .The nurse evaluates that the client understands drug therapy when the client states that she will need to take the drug for approximately how many days?

Accepted Answer

A)   One
B)   Two
C)   Four
D)   Seven

Question 18

The nurse would plan to administer dinoprostone (Prepidil) as ordered to a client for which of the following circumstances?

Accepted Answer

A)   Premature labor
B)   Termination of pregnancy
C)   Postpartum hemorrhage
D)   Accelerated labor

Question 19

The client who wishes to bottle feed her new infant asks the nurse about medications that can be used to suppress lactation.Which of the following drugs does the nurse recall can be used for this purpose?

Accepted Answer

A)   Dinoprostone (Prepidil) 
B)   Bromocriptine (Parlodel) 
C)   Ergonovine (Methergine) 
D)   Ritodrine (Yutopar)

Question 20

The client who is receiving ergonovine (Methergine) therapy needs to be closely monitored for which of the following adverse effects?

Accepted Answer

A)   Paresthesia
B)   Cerebral anoxia
C)   Bradycardia
D)   Hypotension

Exam 52: Drugs for Labor and Delivery

The nurse would have the greatest concern about the use of dinoprostone (Prepidil) in a client with which of the following health problems?

Correct AnswerverifiedShow Answer

The nurse would prepare to give a scheduled dose of methylergonovine (Methergine) to a client with which of the following problems?

Correct AnswerverifiedShow Answer

Ergonovine (Methergine) therapy is administered cautiously by the nurse when the client has which of the following conditions?

Correct AnswerverifiedShow Answer

The nurse would closely monitor the client who is receiving ritodrine (Yutopar) for which of the following adverse effects?

Correct AnswerverifiedShow Answer

A client with a history of mood disorder is in premature labor.The client is being considered for drug therapy with ritodrine (Yutopar) .The nurse checks the client's medication history for evidence of which of the following types of drugs that would be a contraindication to ritodrine therapy?

Correct AnswerverifiedShow Answer

The labor and delivery nurse concludes that which of the following clients on the nursing unit would benefit from drug therapy with ergonovine (Ergotrate) ?

Correct AnswerverifiedShow Answer

A client in labor is receiving an oxytocin (Pitocin) drip by the intravenous route.The nurse assesses the mother for which of the following adverse drug effects during the infusion?

Correct AnswerverifiedShow Answer

The nurse anticipates that which of the following may alter the pharmacokinetics of drugs used for a client during labor and delivery?

Correct AnswerverifiedShow Answer

The nurse determines an order for ritodrine (Yutopar) does not need to be questioned for a client with which of the following health problems?

Correct AnswerverifiedShow Answer

A client has just had a dinoprostone vaginal system inserted.The nurse explains that the system will be removed when the client

Correct AnswerverifiedShow Answer

During administration of oxytocin (Pitocin) to a woman in labor,the nurse should plan to monitor drug effectiveness.This monitoring should include

Correct AnswerverifiedShow Answer

The nurse monitors the client's fluid and electrolyte status while administering oxytocin (Pitocin) for early detection of which of the following?

Correct AnswerverifiedC

The nurse assesses a client who received a dinoprostone (Cervidil) suppository for which of the following most common adverse effects?

Correct AnswerverifiedShow Answer

A client is beginning drug therapy with ritodrine (Yutopar) .The nurse explains to the client that the goal of drug therapy is to stop uterine contractions for at least how long?

Correct AnswerverifiedC

A client in preterm labor has been started on an intravenous drip with magnesium sulfate.The nurse plans to monitor which of the following every hour?

Correct AnswerverifiedD

A client who gave birth would benefit from drug therapy with oxytocin (Syntocinon) to stimulate lactation.The nurse would instruct the client to take the medication at which of the following times?

Correct AnswerverifiedShow Answer

A client is beginning oral drug therapy with ergonovine (Ergotrate) .The nurse evaluates that the client understands drug therapy when the client states that she will need to take the drug for approximately how many days?

Correct AnswerverifiedShow Answer

The nurse would plan to administer dinoprostone (Prepidil) as ordered to a client for which of the following circumstances?

Correct AnswerverifiedShow Answer

The client who wishes to bottle feed her new infant asks the nurse about medications that can be used to suppress lactation.Which of the following drugs does the nurse recall can be used for this purpose?

Correct AnswerverifiedShow Answer

The client who is receiving ergonovine (Methergine) therapy needs to be closely monitored for which of the following adverse effects?

Correct AnswerverifiedShow Answer

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