Question: A nurse administers an IM ergot alkaloid to a postpartum client experiencing severe uterine atony with hemorrhage unresponsive to oxytocin. The nurse understands that the most common adverse effect of this medication is hypertension, which may increase the risk of seizures or stroke. Which medication should the nurse anticipate?
Answer Choices:
A Magnesium sulfate
B Carboprost tromethamine (Hemabate)
C Misoprostol (Cytotec)
D Methylergonovine maleate (Methergine)
Answer: D – Methylergonovine maleate (Methergine)
Question: When caring for a pregnant woman with suspected cardiomyopathy, which signs of decompensation should the nurse assess for? (Select all that apply.)
Answer Choices:
Crackles in lung bases
A regular heart rate
Hypertension
Weakness
Shortness of breath
Answer: Crackles in the lung bases, Weakness, Shortness of breath
Question: A 24-week pregnant client asks the nurse about receiving the Tdap vaccine. She is concerned about safety for herself and her baby. Which statement by the nurse is most accurate regarding Tdap vaccination during pregnancy?
Answer Choices:
A Tdap is contraindicated in pregnancy because it contains live bacteria
B Tdap is recommended between 27–36 weeks gestation to maximize passive antibody transfer to your baby
C Tdap should only be given after delivery, not during pregnancy
D Tdap should be given anytime during pregnancy, as long as you are healthy
Answer: B – Tdap is recommended between 27–36 weeks gestation to maximize passive antibody transfer to your baby
Question: A nurse admits a 33-week pregnant client with placenta previa. What is the priority action?
Answer Choices:
Monitor vaginal bleeding
Insert an IV catheter
Administer glucocorticoids
Apply external fetal monitor
Answer: Monitor vaginal bleeding
Question: A 28-week pregnant client presents with regular uterine contractions and cervical change, indicating threatened preterm labor. To prevent labor from progressing, the provider prescribes a tocolytic. Which of the following medications are commonly used to suppress uterine contractions?
Answer Choices:
A. Prostaglandin E and oxytocin (Pitocin)
B. Progesterone and estrogen
C. Misoprostol and prostaglandin E
D. Nifedipine and terbutaline
Answer: D. Nifedipine and terbutaline
Question: A nurse is preparing to initiate a magnesium sulfate infusion for a client with severe preeclampsia to prevent seizures. Before administering the medication, which assessment finding should the nurse obtain and verify first to ensure safe administration?
Answer Choices:
A Temperature, blood pressure, and respirations
B Urinary glucose, acetone, and specific gravity
C Urinary output, respirations, and patellar reflexes
D Level of consciousness, fundusscopic appearance, and knee reflex
Answer: C – Urinary output, respirations, and patellar reflexes
Question: A primigravida with blood type A-negative is at 29 weeks’ gestation. Today, the client is to receive a prescribed Rh (D) immune globulin injection. Which statement by the client demonstrates to the nurse that more teaching is needed related to this therapy?
Answer Choices:
A. “This shot will prevent me from becoming sensitized to Rh-positive blood.”
B. “I’m getting this shot so that my baby won’t develop antibodies against my blood, right?”
C. “This shot should help to protect me in future pregnancies if this baby is Rh-positive like my husband.”
D. “I understand that if my baby is Rh-positive, I’ll be getting another one of these injections.”
Answer: B. I’m getting this shot so that my baby won’t develop antibodies against my blood, right?
Question: A nurse is caring for a client receiving terbutaline to suppress preterm labor. Which assessment finding should the nurse recognize as an adverse effect that requires immediate intervention?
Answer Choices:
A. Heart rate of 128 beats/min
B. Tachypnea and dyspnea
C. Fetal heart rate of 160 beats/min
D. Fine hand tremors and nervousness
Answer: B. Tachypnea and dyspnea
Question: A nurse is monitoring a client after oxytocin administration for postpartum hemorrhage. Which finding indicates the drug is effective?
Answer Choices:
A Lochia rubra is heavy with clots
B Fundus deviated to the right
C Blood pressure decreases
D Uterus is firm and midline
Answer: D – Uterus is firm and midline
Question: What statement by the nurse best explains the purpose of the annual influenza vaccine?
Answer Choices:
A. Each year a new vaccine is developed based on the flu strains that are likely to be in circulation.
B. The flu vaccine only protects against one strain per year.
C. The flu vaccine causes mild influenza illness.
D. The flu vaccine permanently protects against all future strains.
Answer: A. Each year a new vaccine is developed based on the flu strains that are likely to be in circulation.