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For each medication below, click to select the appropriate nursing action.

(Each category can have zero or more response options selected)

Administer intravaginally for cervical ripening.

Monitor the length, strength, and duration of contractions.

Ensure the client has a full bladder before administration.

Administer orally for preeclampsia.

Monitor for nausea, vomiting, and diarrhea.

Keep client in supine position with lateral tilt for 30 minutes after administration.

Avoid use in clients with a history of liver disease.

Administer IM for postpartum hemorrhage.

Encourage oral intake of grapefruit juice.

Monitor for manifestations of hypertensive crisis.

Administer IV before passage of placenta to stimulate uterine contractions

Answer and Explanation

The Correct Answer is {"A":{"answers":"C"},"B":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"C"},"G":{"answers":"B"},"H":{"answers":"B"},"J":{"answers":"D"},"K":{"answers":"A"}}

Oxytocin (Pitocin)

Monitor contractions: Oxytocin stimulates uterine contractions; excessive stimulation can lead to uterine rupture or fetal distress.
Administer IV before placenta delivery: Used to induce labor or manage the third stage by promoting uterine contractions and preventing postpartum hemorrhage.

Carboprost (Hemabate)

Administer IM for postpartum hemorrhage: Carboprost is used when first-line therapies fail to manage bleeding.
Monitor GI side effects: Carboprost can cause nausea, vomiting, and diarrhea.
Avoid in liver disease: Due to its metabolism in the liver, this drug can be harmful to clients with liver impairment.

Misoprostol (Cytotec)

Empty bladder & intravaginal admin: An empty bladder minimizes risk of trauma and enhances the effectiveness of cervical ripening.
Cervical ripening agent: Often used to induce labor.
Position after use: Keeping the client in a supine position with lateral tilt improves drug absorption and reduces the risk of expulsion.

Methylergonovine (Methergine)

Hypertensive crisis risk: This drug causes vasoconstriction, so it is contraindicated in clients with high blood pressure due to the risk of severe complications such as stroke.

Nursing actions without a proper match:

"Ensure the client has a full bladder before administration"
"Administer orally for preeclampsia"
"Encourage oral intake of grapefruit juice"

Some nursing actions do not match the medications provided, as they are irrelevant to the uterotonic drugs listed,

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A rationale

Combination oral contraceptives are contraindicated for smokers over 35 due to an increased risk of cardiovascular events such as thromboembolism and myocardial infarction. While the client is younger, her smoking habit is still a significant risk factor, and oral contraceptives do not protect against sexually transmitted infections given her multiple partners.

Choice B rationale

Depo-Provera, an injectable progestin, can cause irregular bleeding and potential weight gain, which might not be ideal given the client's existing irregular menstrual cycles and menorrhagia. Furthermore, it does not offer protection against sexually transmitted infections.

Choice C rationale

Barrier methods such as female condoms, when used consistently and correctly, provide protection against both pregnancy and sexually transmitted infections, which is crucial given the client's multiple partners. While they require proper education and may have a higher failure rate than hormonal methods, they address the STI risk directly.

Choice D rationale

A contraceptive implant is a highly effective long-acting reversible contraceptive. However, it does not protect against sexually transmitted infections. Given the client's multiple partners, STI protection is a primary concern that the implant does not address. .

A. Symmetrical breast swelling with a sudden increase in milk production. B. Swelling and redness in one breast, accompanied by flu-like symptoms. C. Bilateral breast tenderness and engorgement with no fever. D. A white patch on a nipple.

Correct Answer is B

Explanation

Choice A rationale

Symmetrical breast swelling with a sudden increase in milk production is characteristic of normal postpartum breast engorgement as lactation is established, not mastitis. Mastitis is usually localized to one breast.

Choice B rationale

Swelling and redness in one breast, accompanied by flu-like symptoms such as fever, chills, and body aches, are classic signs and symptoms of mastitis, an infection or inflammation of the breast tissue.

Choice C rationale

Bilateral breast tenderness and engorgement without fever are typical findings of normal postpartum breast engorgement, which occurs due to increased blood flow and milk production. Fever is a key indicator of infection, such as mastitis.

Choice D rationale

A white patch on a nipple is more indicative of thrush (candidiasis), a fungal infection that can occur during breastfeeding, affecting the nipple and the baby's mouth. While uncomfortable, it is distinct from mastitis.

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For each medication below, click to select the appropriate nursing action. (Each category can have zero or more response options selected)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A nurse is caring for a client who is 3 days postpartum and is attempting to breastfeed.Which of the following findings indicate mastitis?

Correct Answer is B

Explanation

A nurse is assessing a postpartum client for signs of postpartum depression.Which of the following symptoms is most indicative of postpartum depression rather than normal postpartum adjustment?

A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa.The client asks the nurse why the provider does not do an internal examination.Which of the following explanations of the primary reason should the nurse provide?

A nurse is caring for a client who is 5 hr postpartum following a vaginal birth of a newborn weighing 9 lb 6 oz (4252 g). The nurse should recognize that this client is at risk for which of the following postpartum complications?

A nurse is caring for a 35-year-old female client who is at 37 weeks of gestation in the antepartum unit. Exhibits Complete the following sentence using the drop-down options: The nurse’s greatest concern is the client’s risk of developing dropdown related to dropdown and dropdown

Identify which of the following findings is a priority concern or not for the patient.

The nurse is reviewing fetal and maternal circulation with a group of nursing students.Which statement by a student demonstrates a need for further clarification?

A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm labor.Which of the following is the priority nursing assessment for this client?

A nurse on the postpartum unit is caring for a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?

For each medication below, click to select the appropriate nursing action.

(Each category can have zero or more response options selected)