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
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)
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Monitor contractions: Oxytocin stimulates uterine contractions; excessive stimulation can lead to uterine rupture or fetal distress.
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Administer IV before placenta delivery: Used to induce labor or manage the third stage by promoting uterine contractions and preventing postpartum hemorrhage.
Carboprost (Hemabate)
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Administer IM for postpartum hemorrhage: Carboprost is used when first-line therapies fail to manage bleeding.
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Monitor GI side effects: Carboprost can cause nausea, vomiting, and diarrhea.
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Avoid in liver disease: Due to its metabolism in the liver, this drug can be harmful to clients with liver impairment.
Misoprostol (Cytotec)
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Empty bladder & intravaginal admin: An empty bladder minimizes risk of trauma and enhances the effectiveness of cervical ripening.
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Cervical ripening agent: Often used to induce labor.
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Position after use: Keeping the client in a supine position with lateral tilt improves drug absorption and reduces the risk of expulsion.
Methylergonovine (Methergine)
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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:
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"Ensure the client has a full bladder before administration"
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"Administer orally for preeclampsia"
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"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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The morning-after pill, containing levonorgestrel, is intended for emergency contraception and should not be used as a regular method of birth control. Frequent use can disrupt the menstrual cycle and may be less effective over time compared to consistent contraception methods like oral contraceptives, IUDs, or barrier methods. These regular methods provide continuous protection against pregnancy.
Choice B rationale
The morning-after pill is most effective when taken as soon as possible after unprotected intercourse. Its efficacy decreases with time, and it is significantly less effective after 72 hours. The medication works primarily by delaying or preventing ovulation, and its effectiveness is highest when administered before ovulation occurs.
Choice C rationale
The morning-after pill does not provide any protection against sexually transmitted infections (STIs). It only reduces the risk of pregnancy. Individuals should use barrier methods like condoms during sexual activity to protect themselves and their partners from STIs. Emergency contraception addresses pregnancy risk, not STI transmission.
Choice D rationale
The efficacy of the morning-after pill declines significantly if taken more than 72 hours after unprotected sex. While it may still offer some protection up to 120 hours, its effectiveness is considerably reduced compared to when taken within the first 72 hours. Prompt use is crucial for maximizing its contraceptive effect. .
Correct Answer is A
Explanation
Choice A rationale
A pre-pregnancy BMI of 23.5 falls within the normal weight range (18.5 to 24.9 kg/m²). For individuals with a normal pre-pregnancy BMI, the recommended total weight gain during pregnancy is 25 to 35 pounds (11.3 to 15.9 kg). This range supports optimal fetal growth without significantly increasing the risk of maternal or fetal complications associated with excessive weight gain.
Choice B rationale
While a gradual weight gain is generally recommended, stating "about 1 pound per week" is an oversimplification and doesn't account for the varying rates of weight gain throughout pregnancy. The rate of weight gain is typically lower in the first trimester and higher in the second and third trimesters. Focusing solely on a weekly gain might cause unnecessary anxiety if the client's weight gain fluctuates slightly.
Choice C rationale
A recommended weight gain of 15 to 25 pounds is appropriate for individuals with an overweight pre-pregnancy BMI (25 to 29.9 kg/m²), not a normal BMI. Recommending this lower range to a client with a normal BMI could lead to inadequate weight gain and potentially compromise fetal development due to insufficient nutrient supply.
Choice D rationale
A recommended weight gain of 11 to 20 pounds is typically advised for individuals with an obese pre-pregnancy BMI (30 kg/m² or higher). Suggesting this lower range to a client with a normal BMI could restrict necessary weight gain for a healthy pregnancy and fetal growth.
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