MATERNITY-NEWBORN MEDICATIONS EXAM 2023-2024 QUESTIONS WITH ANSWERS

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MATERNITY-NEWBORN MEDICATIONS EXAM 2023-2024 QUESTIONS WITH ANSWERS 1. A pregnant client is receiving magnesium sulfate therapy for the control of preeclampsia. A nurse discover that the client is... encountering toxicity from the medication in which of the following assessment? A. Urine output of 25 ml/hr. B. The presence of deep tendon reflex. C. Respirations of 10 breaths per minute. D. Serum magnesium level of 7 mEq/L. 2. A student nurse was asked by the nurse instructor to explain the procedure for the administration of erythromycin ointment to the eyes of the newborn. Which of the following statements made by the student indicates a need for further research? A. “I will instill the eye ointment into each of the newborn’s conjunctival sacs.” B. “I will flush the newborn’s eyes after instilling the ointment.” C. “I will clean the newborn’s eyes before instilling the ointment.” D. “I need to administer the eye ointment within an hour after maternal delivery.” 3. Rho(D) immune globulin (RhoGAM) is given to a pregnant woman after delivery and the nurse is giving information to the patient about the indication of the medication. The nurse determines that the patient understands the purpose of the medication if the patient tells that it will protect her baby from which of the following? A. Developing German Measles. B. Developing Pernicious anemia. C. Developing Rh incompatibility. D. Having an RH+ blood. 4. A pregnant woman who is having labor pains is receiving an opioid analgesic. Which of the following medications should be ready in case a respiratory depression occurs? A. Naloxone (Narcan). B. Oxycodone (Oxycontin). C. Meperidine hydrochloride (Demerol). D. Morphine sulfate. 5. Methylergonovine (Methergine) is prescribed to a patient who is having a postpartum bleeding. Prior giving the medication, the nurse contacts the physician who prescribed the medication if which of the following condition is documented in the patient’s chart? A. Ischemic heart disease. B. Hypotension. C. Acute Gastroenteritis. D. Uterine atony. 6. A nurse instructor is about to administer a vitamin K injection to a newborn. The student nurse asks the instructor regarding the purpose of the injection. The appropriate response would be: A. “The vitamin K provides active immunity.” B. “The vitamin K will prevent the occurrence of hyperbilirubinemia.” C. “The vitamin K will protect the newborn from bleeding.” D. “The vitamin K will serve as protection against jaundice and anemia.” 7. A nurse is assigned to a patient who is receiving Oxytocin (Pitocin) to induce labor. The nurse terminates the oxycontin infusion if which of the following is noted on the assessment of the client? A. Early decelerations of the fetal heart rate. B. Fatigue. C. Nausea. D. Uterine hyperstimulation. 8. A client in preterm labor (32 weeks) who is dilated to 5cm has been given magnesium sulfate and the contractions have stopped. If the labor can be delayed for the next 2 days, which of the following medication does the nurse expect that will be prescribed? A. Fentanyl (Sublimaze). B. Sufentanil (Sufenta). C. Betamethasone (Celestone). D. Butorphanol tartrate (Stadol). 9. Which of the following laboratory test must be monitored for pregnant patients receiving dexamethasone? A. Red blood cell count. B. Serum Calcium. C. Random blood sugar. D. Uric acid. 10. Patellar reflex is being monitored for patients receiving magnesium sulfate therapy. When assessing the deep tendon reflex, which of the following grade pertains to diminished response? A. Grade 0 B. Grade 1 C. Grade 2 D. Grade 4 11. Prior giving of Methylergonovine, what is the priority assessment for the nurse to check which of the following? A. Deep tendon reflexes. B. Urine output. C. Blood pressure. D. Vaginal bleeding. 12. A nurse is preparing to give a lung surfactant to a 36 weeks old baby with a respiratory distress syndrome. Which of the following is the correct route of administration? A. Intratracheal. B. Intramuscular. C. Intradermal. D. Intravenous. 13. A nurse is preparing to administer a Rubella vaccine to a client prior discharge home. Which of the following is not true regarding this vaccine? A. Pain, redness, swelling, or a lump is some of the adverse reaction. B. Given intramuscularly in the lateral aspect of the middle third of the vastus lateralis muscle. C. The need to use of contraception after immunization. D. Contraindicated in a client with an allergy to duck eggs. 14. A nurse is preparing Dinoprostone to a client to induce labor. Which of the following nursing intervention must be questioned? A. Have the client hold void before administration. B. Place the client on a side lying position for 30 to 60 minutes after the administration. C. Monitor maternal vital signs. D. Have the client void before administration. 15. A nurse is caring for a patient receiving oxytocin therapy suddenly is experiencing hypertonic contractions. Which of the following priority nursing actions should the nurse do? Select all that apply. A. The nurse leaves the client to ask for help. B. Stop the oxytocin infusion. C. Increase the flow rate of the intravenous additive solution. D. Place the client in the supine position. E. Administer oxygen at 8 to 10 liters per minute. Maternal & Child Health Nursing Quiz #1: 2. A client at 36 weeks gestation is scheduled for a routine ultrasound prior to an amniocentesis. After teaching the client about the purpose for the ultrasound, which of the following client statements would indicate to the nurse in charge that the client needs further instruction? A. The ultrasound will help to locate the placenta B. The ultrasound identifies blood flow through the umbilical cord C. The test will determine where to insert the needle D. The ultrasound locates a pool of amniotic fluid 6. The nurse is caring for a primigravida at about 2 months and 1-week gestation. After explaining self-care measures for common discomforts of pregnancy, the nurse determines that the client understands the instructions when she says: A. “Nausea and vomiting can be decreased if I eat a few crackers before arising.” B. “If I start to leak colostrum, I should cleanse my nipples with soap and water.” C. “If I have a vaginal discharge, I should wear nylon underwear.” D. “Leg cramps can be alleviated if I put an ice pack on the area.” 8. A pregnant client is diagnosed with partial placenta previa. In explaining the diagnosis, the nurse tells the client that the usual treatment for partial placenta previa is which of the following? A. Activity limited to bed rest B. Platelet infusion C. Immediate cesarean delivery D. Labor induction with oxytocin 11. A primigravida client at 25 weeks gestation visits the clinic and tells the nurse that her lower back aches when she arrives home from work. The nurse should suggest that the client perform: A. Tailor sitting B. Leg lifting C. Shoulder circling D. Squatting exercises 13. Which of the following would the nurse most likely expect to find when assessing a pregnant client with abruption placenta? A. Excessive vaginal bleeding B. Rigid, board-like abdomen C. Titanic uterine contractions D. Premature rupture of membranes 17. A pregnant patient asks the nurse if she can take castor oil for her constipation. How should the nurse respond? A. “Yes, it produces no adverse effect.” B. “No, it can initiate premature uterine contractions.” C. “No, it can promote sodium retention.” D. “No, it can lead to increased absorption of fat-soluble vitamins.” 18. A patient in her 14th week of pregnancy has presented with abdominal cramping and vaginal bleeding for the past 8 hours. She has passed several clots. What is the primary nursing diagnosis for this patient? [Show More]

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