Given the following information, identify the adverse effects related to each medication order. AG1PO delivered a baby that weighs 10 lbs. Patient has a boggy uterus, it is midline, and +1 hour after delivery. Perineal pad is saturated with large golf size clots in 30 minutes. Identify the adverse effects of the medications listed in the order set. Medication: Methergine (Methylergonovine), Oxytocin (Pitocin), Hemabate (carboprost tromethamine), Misoprostol (Cytotec).

Diarrhea.

Hypertensive crisis.

Asthma exacerbation.

Fever, chills, hypotension.

Answer and Explanation

Correct Answer : B,C,D

Choice A rationale

Diarrhea is a common adverse effect of Hemabate (carboprost tromethamine). It stimulates smooth muscle contractions, including gastrointestinal tract muscles, leading to increased bowel movements.

Choice B rationale

Methergine (Methylergonovine) can cause a hypertensive crisis due to its potent vasoconstrictive properties. It is contraindicated in patients with hypertension or preeclampsia.

Choice C rationale

Hemabate (carboprost tromethamine) may exacerbate asthma. It can cause bronchoconstriction by stimulating prostaglandin receptors, worsening asthma symptoms or triggering attacks.

Choice D rationale

Misoprostol (Cytotec) can cause fever, chills, and hypotension due to its inflammatory and vasodilatory effects. It increases prostaglandin synthesis, leading to these systemic responses.

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Correct Answer is ["A","B","D","E","F"]

Explanation

Choice A rationale: Amniotic Fluid Index (AFI) assesses the amniotic fluid volume, an important indicator of fetal well-being. Normal AFI ranges from 5 to 24 cm. Abnormal levels may indicate potential complications such as oligohydramnios or polyhydramnios.

Choice B rationale: Fetal breathing movements are a key component of the biophysical profile, reflecting fetal central nervous system integrity. Typically observed for at least 30 seconds in a 30-minute period, absence may suggest hypoxia or CNS issues.

Choice C rationale: Fetal weight is not included in the BPP as it does not directly measure acute fetal well-being. It is assessed through ultrasound for growth monitoring and determining if the fetus is appropriate for gestational age.

Choice D rationale: Fetal tone evaluates fetal central nervous system function by observing limb or trunk movements. Normal tone includes flexion and extension movements, while decreased tone may indicate hypoxia or CNS dysfunction.

Choice E rationale: Non-Stress Test (NST) measures fetal heart rate accelerations in response to fetal movements. A reactive NST indicates fetal well-being, with at least two accelerations within 20 minutes, while a non-reactive NST may require further evaluation.

Choice F rationale: Fetal movement assessment involves counting gross body movements over a specified period. At least three movements in 30 minutes are considered normal, reflecting fetal CNS integrity. Decreased movement may indicate compromised fetal health.

A. Small for gestational age. B. Fetal macrosomia. C. Intrauterine growth restriction. D. Fetal anemia.

Correct Answer is B

Explanation

Choice B rationale

Fetal macrosomia, defined as birth weight above 4,000 grams, can complicate labor due to increased risk of shoulder dystocia, prolonged labor, and cesarean delivery. Proper management of macrosomia is critical for maternal and neonatal outcomeChoice s.

Choice A rationale

Small for gestational age (SGA) fetuses, although growth-restricted, typically do not pose mechanical issues in labor. The primary concerns involve potential preterm birth, low birth weight, and associated neonatal complications, not labor obstruction.

Choice C rationale

Intrauterine growth restriction (IUGR) fetuses are smaller than expected for gestational age but do not generally cause labor obstruction. IUGR primarily raises concerns about fetal well-being and potential complications, not mechanical labor issues.

Choice D rationale

Fetal anemia, although serious, does not typically affect the mechanical aspects of labor progression. It can lead to fetal hypoxia and distress, requiring close monitoring and potentially earlier delivery, but not labor complications related to size.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 35 weeks of gestation in the labor and delivery unit. Exhibits Based on the assessment findings, the physician plans to complete a BPP (biophysical profile). Which of the following is included in the BPP? (Select all that apply.)

Correct Answer is ["A","B","D","E","F"]

Explanation

A 30-year-old pregnant woman is in labor, and the obstetrician suspects that there might be a complication with the progression of labor due to the fetus. Which fetal issue is most likely causing this complication?

Correct Answer is B

Explanation

A nurse is caring for a client who is having a nonstress test. The fetal heart rate (FHR) baseline is 145 bpm, there is moderate variability, but there have been no accelerations or fetal movement. Which of the following actions should the nurse complete next?

A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation. The nurse provides which of the following explanations about this test to the client?

The nurse is caring for a client in labor at term. The nurse reviews the external monitor tracing below. The nurse identifies that the deceleration pattern seen indicates which of the following?

Which of the following are premonitory signs of labor?

A client in labor is agitated and nervous about the birth of her child. The nurse explains to the client that fear and anxiety cause the release of certain compounds that can prolong labor. The nurse is referring to which compounds?

The obstetrician is caring for a client with gestational hypertension. She is concerned about placental perfusion and intrauterine growth restriction (IUGR) after noting minimal fetal growth over the past month. What non-invasive antenatal test would the nurse anticipate the provider will order?

A nurse is caring for a client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios. The nurse should understand that this diagnosis means which of the following?