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A pregnant woman experiences constipation. The nurse anticipates that which laxative may be
used first after activity and dietary methods are unsuccessful? a. Mineral oil
b. Psyllium (Metamucil)
c. Lactulose
d. Milk of magnesia - Answers -b. Psyllium (Metamucil)
The client is scheduled for treatment with betamethasone (Celestone). The nurse anticipates
that this medication will be administered via the _____ route.
a. oral
b. intravenous
c. intramuscular
d. subcutaneous - Answers -c. intramuscular
The client is scheduled for treatment with betamethasone (Celestone). The nurse anticipates
that the medication will be administered to the client during which week _____ or before of her
pregnancy.
a. 38
b. 36
c. 35
d. 33 - Answers -d. 33
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,The healthcare provider orders hydroxyzine (Vistaril) for a client in labor. To achieve a positive
outcome, the nurse plans to administer the drug via which route?
a. Intradermally
b. Intravenously
c. Intramuscularly via Z-track technique
d. Subcutaneously via Z-track technique - Answers -c. Intramuscularly via Z-track technique
An epidural block is ordered for a primipara client in labor. The nurse anticipates that this
epidural block will be given when the cervix is dilated at _____ centimeters.
a. 2 to 3
b. 3 to 4
c. 4 to 5
d. 5 to 6 - Answers -d. 5 to 6
A client is being treated with an ergot alkaloid medication. Which observation would cause the
nurse to contact the primary healthcare provider?
a. Hypertension
b. Itching
c. Jugular vein distention
d. Seizure activity - Answers -d. Seizure activity
The client is scheduled for an epidural anesthetic as she delivers. What will be the highest
priority nursing intervention?
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,a. Administer 1 L of an isotonic IV solution and encourage use of a bedpan after spinal
anesthesia.
b. Administer 500 mL of a hypotonic IV solution and assess the level of consciousness because
the patient is sedated.
c. Administer 500 mL of a hypertonic IV solution and assess fetal heart rate and progress of
labor as per pregnancy protocol.
d. Administer 1 L of hypotonic IV solution and allow the client to ambulate during the spinal
anesthesia. - Answers -a. Administer 1 L of an isotonic IV solution and encourage use of a
bedpan after spinal anesthesia.
The best candidate for treatment with dinoprostone (Cervidil) is the woman who needs her:
a. labor stopped.
b. cervix ripened.
c. labor stimulated.
d. labor prolonged - Answers -b. cervix ripened.
Which will most likely be part of the nursing care of a woman postcaesarean section with spinal
anesthesia?
a. Early ambulation to avoid constipation
b. Fluid restrictions to decrease blood volume
c. Lying flat 6 to 8 hours to avoid spinal headache
d. IV antibiotics to avoid postpartum infection - Answers -c. Lying flat 6 to 8 hours to avoid spinal
headache
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, The client is scheduled to be treated with Oxytocin by nasal spray. The nurse plans to administer
the drug:
a. 2 to 3 minutes after the client nurses her baby.
b. 2 to 3 minutes before the client nurses her baby.
c. after delivery of the placenta.
d. as delivery of the placenta is imminent. - Answers -b. 2 to 3 minutes before the client nurses
her baby.
. A young women in labor, G1P0, is diagnosed with pregnancy-induced hypertension (PIH). She
is ordered to receive magnesium sulfate. What are the other components of her nursing care?
(Select all that apply.)
a. Maintaining a quiet environment
b. Assessing vital signs and fetal heart tones frequently
c. Providing large amounts of PO and IV fluids to maintain fluid volume
d. Allowing the woman to ambulate ad lib
e. Assessing for clonus and deep tendon reflexes
f. Monitoring urine hourly for protein - Answers -a. Maintaining a quiet environment
b. Assessing vital signs and fetal heart tones frequently
e. Assessing for clonus and deep tendon reflexes
f. Monitoring urine hourly for protein
Principles of prescribing for older adults include:
A. Avoiding prescribing any newer high-cost medications
B. Starting at a low dose and increasing the dose slowly
C. Keeping total dose at lower therapeutic range
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