Nursing Pharmacology: Maternity Drugs 2026 Exam
1. Question
A pregnant client is receiving magnesium sulfate therapy for the control of
preeclampsia. A nurse discovers that the client is encountering toxicity from the
medication in which of the following assessments?
A. Respirations of 10 breaths per minute.
Correct Answer
B. Presence of deep tendon reflex.
C. Urine output of 25 ml/hr.
Incorrect
D. Serum magnesium level of 7 mEq/L.
Incorrect
Correct Answer: A. Respirations of 10 breaths per minute.
Magnesium sulfate is a central nervous system depressant and anticonvulsant. It
can cause smooth muscle relaxation. Signs of magnesium sulfate toxicity relate to
the central nervous system depressant effects of the medication and include
respiratory depression, decreased urine output, loss of deep tendon reflexes,
hypotension and a decreased maternal and fetal heart rate.
,Option B: Deep tendon reflexes must be present.
Option C: Urine output should be maintained at 25-30ml/hr.
Option D: Normal range for magnesium is between 4-7 mEq/L
2. Question
A student nurse was asked by the nurse instructor to explain the procedure for
the administration of erythromycin ointment to the eyes of the newborn. Which
of the following statements made by the student indicates a need for further
research?
A. "I will instill the eye ointment into each of the newborn's conjunctival sacs."
B. "I need to administer the eye ointment within an hour after maternal
delivery."
C. "I will clean the newborn's eyes before instilling the ointment."
D. "I will flush the newborn's eyes after instilling the ointment."
Correct
Correct
Correct Answer: D. “I will flush the newborn’s eyes after instilling the ointment.”
, Newborn eye prophylaxis is used for the protection against Gonorrhea or
Chlamydia infection. The eyes are not flushed following the instillation of the
medication because it will wash away the administered ointment.
Option A: The correct administration of the ointment.
Option B: Instillation of eye ointment can be delayed for 1 hour to facilitate eye
contact and parent-newborn bonding.
Option C: Cleaning the newborn’s eye before instilling the ointment is a standard
procedure.
3. Question
Rho(D) immune globulin (RhoGAM) is given to a pregnant woman after delivery
and the nurse is giving information to the patient about the indication of the
medication. The nurse determines that the patient understands the purpose of
the medication if the patient tells that it will protect her baby from which of the
following?
A. Developing Pernicious anemia.
B. Developing German Measles.
Incorrect
C. Having an RH+ blood.
D. Developing Rh incompatibility.
1. Question
A pregnant client is receiving magnesium sulfate therapy for the control of
preeclampsia. A nurse discovers that the client is encountering toxicity from the
medication in which of the following assessments?
A. Respirations of 10 breaths per minute.
Correct Answer
B. Presence of deep tendon reflex.
C. Urine output of 25 ml/hr.
Incorrect
D. Serum magnesium level of 7 mEq/L.
Incorrect
Correct Answer: A. Respirations of 10 breaths per minute.
Magnesium sulfate is a central nervous system depressant and anticonvulsant. It
can cause smooth muscle relaxation. Signs of magnesium sulfate toxicity relate to
the central nervous system depressant effects of the medication and include
respiratory depression, decreased urine output, loss of deep tendon reflexes,
hypotension and a decreased maternal and fetal heart rate.
,Option B: Deep tendon reflexes must be present.
Option C: Urine output should be maintained at 25-30ml/hr.
Option D: Normal range for magnesium is between 4-7 mEq/L
2. Question
A student nurse was asked by the nurse instructor to explain the procedure for
the administration of erythromycin ointment to the eyes of the newborn. Which
of the following statements made by the student indicates a need for further
research?
A. "I will instill the eye ointment into each of the newborn's conjunctival sacs."
B. "I need to administer the eye ointment within an hour after maternal
delivery."
C. "I will clean the newborn's eyes before instilling the ointment."
D. "I will flush the newborn's eyes after instilling the ointment."
Correct
Correct
Correct Answer: D. “I will flush the newborn’s eyes after instilling the ointment.”
, Newborn eye prophylaxis is used for the protection against Gonorrhea or
Chlamydia infection. The eyes are not flushed following the instillation of the
medication because it will wash away the administered ointment.
Option A: The correct administration of the ointment.
Option B: Instillation of eye ointment can be delayed for 1 hour to facilitate eye
contact and parent-newborn bonding.
Option C: Cleaning the newborn’s eye before instilling the ointment is a standard
procedure.
3. Question
Rho(D) immune globulin (RhoGAM) is given to a pregnant woman after delivery
and the nurse is giving information to the patient about the indication of the
medication. The nurse determines that the patient understands the purpose of
the medication if the patient tells that it will protect her baby from which of the
following?
A. Developing Pernicious anemia.
B. Developing German Measles.
Incorrect
C. Having an RH+ blood.
D. Developing Rh incompatibility.
