Kee: Pharmacology, 6th Edition

Test Bank Chapter 52: Female Reproductive Cycle I: Pregnancy and Preterm Labor Drugs
MULTIPLE CHOICE 1. Which of the following are substances that cause developmental abnormalities? 1. hypnotics 2. ionized substances 3. teratogens 4. plasma proteins ANS: 3

This is the definition of teratogen.

DIF: Cognitive Level: Comprehension REF: 811 TOP: Nursing Process: Analysis MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 2. Folic acid deficiency during preconception and early in pregnancy can result in which of

the following? 1. skeletal defects 2. neural tube defects 3. intrauterine growth retardation 4. small-for-gestational-age infants
ANS: 2

Folic acid has been found to deter neural tube defects during preconception and pregnancy.
DIF: Cognitive Level: Comprehension REF: 813 TOP: Nursing Process: Analysis MSC: CONTENT CATEGORY: Health Promotion and Maintenance: Antepartal Care 3. A client is ordered to receive iron and antacids. The nurse teaches the client that iron and

antacids should be administered: 1. at the same time 2. 2 hours apart 3. with the antacid first 4. with the iron first
ANS: 2

Antacids impair the absorption of iron.

DIF: Cognitive Level: Application REF: 813 TOP: Nursing Process: Intervention/Teaching MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral TheraElsevier items and derived items 2009, 2006, 2003 by Saunders, an imprint of Elsevier Inc.

pies 4. A client, 10 weeks pregnant, complains of severe nausea of pregnancy. Meclizine (Bonine)

is prescribed. A side effect the client should expect is: 1. hypertension 2. dizziness 3. polyuria 4. agitation
ANS: 2

As an anticholinergic, it causes drowsiness and orthostatic hypotension.

DIF: Cognitive Level: Comprehension REF: 815 TOP: Nursing Process: Analysis MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 5. Betamethasone (Celestone) is ordered for a client in preterm labor. This medication is: 1. effective in treating preterm infants after delivery 2. given to prevent RDS in preterm infants 3. given to stimulate surfactant production 4. contraindicated in severe PIH ANS: 2

This steroid assists in maturation of the lungs in a preterm infant.

DIF: Cognitive Level: Comprehension REF: 822-823 TOP: Nursing Process: Analysis MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 6. A 28-week pregnant client is in preterm labor and receives serial subcutaneous doses of the

tocolytic drug terbutaline sulfate (Brethine) to inhibit her labor. A common side effect of this drug is which of the following? 1. tachycardia 2. polyuria 3. hypertension 4. hyporeflexia
ANS: 1

This medication stimulates the sympathetic nervous system to shunt blood away from the uterus.
DIF: Cognitive Level: Analysis REF: 821 TOP: Nursing Process: Analysis MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 7. A client is admitted to the labor and delivery unit and is being treated with tocolytic ther-

apy. The nurse plans the clients care with the knowledge that this medication is used to:

Test Bank
1. 2. 3. 4.

523

induce labor decrease uterine contractions stimulate fetal heart rate enhance placental blood flow

ANS: 2

Tocolytic therapy is used to stop preterm labor.

DIF: Cognitive Level: Application REF: 820 TOP: Nursing Process: Planning MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 8. Which of the following clients has the highest risk for pregnancy-induced hypertension? 1. a client with a previous history of PIH and a multiple gestation pregnancy 2. a middle-class mother with a family history of PIH 3. a teen mother with normoglycemia 4. a white mother who is a primipara ANS: 1

This is the only option with two risk factors.

DIF: Cognitive Level: Analysis REF: 824 TOP: Nursing Process: Analysis MSC: CONTENT CATEGORY: Health Promotion and Maintenance: Antepartal Care 9. A client is demonstrating signs of pregnancy-induced hypertension. The drug of choice is: 1. methyldopa (Aldomet) 2. furosemide (Lasix) 3. hydrochlorothiazide (HCTZ) 4. an ACE inhibitor ANS: 1

This is the drug of choice with PIH. Diuretics and ACE inhibitors are not recommended.
DIF: Cognitive Level: Comprehension REF: 825 TOP: Nursing Process: Analysis MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 10. A client with PIH is treated with magnesium sulfate. The nurse tells the client this is to: 1. prolong labor 2. prevent seizures 3. increase blood pressure 4. stimulate urination ANS: 2

The main goal of this medication is CNS depression to prevent seizure activity.
DIF: Cognitive Level: Application REF: 826

Elsevier items and derived items 2009, 2006, 2003 by Saunders, an imprint of Elsevier Inc.

TOP: Nursing Process: Intervention/Teaching MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 11. A prenatal client discloses that she takes high doses of vitamins. Which of the following

statements made by the nurse is appropriate? 1. High levels of vitamins may cause harm to the fetus. 2. Water-soluble vitamins may be toxic. 3. Megadoses of vitamins are associated with positive birth outcomes. 4. Vitamin supplementation is not needed during pregnancy.
ANS: 1

The only true statement is option 1.

DIF: Cognitive Level: Comprehension REF: 814 TOP: Nursing Process: Analysis MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 12. A pregnant woman experiences constipation. The nurse anticipates that which of the fol-

lowing laxatives may be used first after activity and dietary methods are unsuccessful? 1. mineral oil 2. bulk-forming agents 3. lactulose 4. milk of magnesia
ANS: 2

Bulk-forming laxatives, like Metamucil, should be tried first. Mineral oil is contraindicated because it may induce preterm labor.
DIF: Cognitive Level: Application REF: 816 TOP: Nursing Process: Planning MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies MULTIPLE RESPONSE 1. A young women in labor, G1P0, is diagnosed with pregnancy-induced hypertension. She is

ordered to receive magnesium sulfate. Which of the follow are also components of her nursing care? (Select all that apply.) 1. maintaining a quiet environment 2. assessing vital signs and fetal heart tones frequently 3. providing large amounts of PO and IV fluids to maintain fluid volume 4. allowing the woman to ambulate ad lib 5. assessing for clonus and deep tendon reflexes 6. monitoring urine hourly for protein
ANS: 1, 2, 5, 6

Test Bank The client would be prescribed bed rest and would receive maintenance fluids. Hypovolemia is not a problem with PIHhypertension is.

525

DIF: Cognitive Level: Application REF: 824-828 TOP: Nursing Process: Planning MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies

Elsevier items and derived items 2009, 2006, 2003 by Saunders, an imprint of Elsevier Inc.