NURS 2207 Medications For Exam 2: Quetsions With
Correct Answers
Betamethasone (Celestone) Right Ans - Action: Suppress inflammation and
the normal immune response; All agents have numerous metabolic effects
(suppress adrenal function)
Use: fetal lung maturation by stimulation of surfactant decreases likelihood of
several complications of premature rupture of membranes including
respiratory distress syndrome, necrotizing enterocolitis, intraventricular
hemorrhage, and perinatal death
Nursing Assessment: must be given 24-48 hours before labor typically 24 and
34 weeks
Side Effects: Depression, hypertension, anorexia, nausea, decreased wound
healing, hypoglycemia, increased risk of infection and pulmonary edema
Contraindications: Active untreated infections; lactation: avoid chronic use;
known alcohol intolerance; administration of live virus vaccines
Route: IM
Bupivacaine Right Ans - Action: Block the generation and the conduction of
nerve impulses by increasing the threshold for electrical excitation in the
nerve, by slowing the propagation of the nerve impulse, and by reducing the
rate of rise of the action potential.
Use: Numb an area of the body during or after surgery or other procedures or
childbirth episiotomy
Nursing Assessment: Assess, pain, neruo status and vitals signs according to
facility policy and more often if concerns arise
Side Effects: Burning, itching, numbness, tingling, change or loss of taste, chest
pain, ringing of the ears, diarrhea, painful urination, dry mouth, headache, loss
of appetite, muscle pain or cramps, seizures, trouble breathing, unusual
bleeding or bruising
Contraindications: Hypotension, bradycardia, liver disease, anemia, kidney
disease
Route: Injection
Calcium Gluconate Right Ans - Action: Act as an activator in the
transmission of nerve impulses and contraction of cardiac, skeletal, and sooth
muscle
Use: Treatment and prevention of hypocalcemia
, Nursing Assessment: Monitor BP, pulse, and ECG before and after
administration
Side Effects: Arrhythmias, hypercalcemia, constipation, phlebitis at IV site,
cardiac arrest
Contraindications: Hypercalcemia; renal calculi; V-Fib; concurrent use of
calcium supplements
Route: PO and IV
Misoprostol (Cytotec) Right Ans - Action: Binds to myometrial cells to
cause trong myometrial contractions leading to expulsion of tissue
Use: used to soften and effece the cervix and initiate labor
Nursing Assessment: drug should not be given within 4 hours or less of
pitocin, fetal heart rate monitored continuously, only administered with
uterine activity
Side Effects: Headache, abdominal pain, nausea, diarrhea
Contraindications: nonreassuring fetal heart rate, frequent moderate uterine
contractions, prior c section or uterine birth, placenta previa, undiagnosed
vaginal bleeding
Clomiphene citrate (Clomid) Right Ans - Action: Acts on the hypothalamus,
pituitary gland and ovary to Increases levels of FSH and LH to trigger
ovulation
Use: Used to cause ovulation
Nursing Assessment: Monitor lipid laboratory panel
Side Effects: Increases rate of multiple pregnancies, hot flashes, headaches,
abdominal bloating and pain, n/v, breast tenderness & mood changes
Contraindications: Hypersensitivity to drug, pregnancy, breastfeeding, hx of
hepatic impairment or disease, abnormal uterine bleeding, uncontrolled
adrenal dysfunction
Route: PO
Depo-Provera Right Ans - Action: Inhibits the secretion of gonadotropins
which prevents follicular maturation and ovulation and causes thickening of
cervical mucus
Use: Prevention of pregnancy and manage medical conditions related to the
menstrual cycle, suppresses ovulation
Nursing Assessment: Assess area around injection site before and after
administration (looking for redness, swelling, irritation, bleeding, etc.)
Correct Answers
Betamethasone (Celestone) Right Ans - Action: Suppress inflammation and
the normal immune response; All agents have numerous metabolic effects
(suppress adrenal function)
Use: fetal lung maturation by stimulation of surfactant decreases likelihood of
several complications of premature rupture of membranes including
respiratory distress syndrome, necrotizing enterocolitis, intraventricular
hemorrhage, and perinatal death
Nursing Assessment: must be given 24-48 hours before labor typically 24 and
34 weeks
Side Effects: Depression, hypertension, anorexia, nausea, decreased wound
healing, hypoglycemia, increased risk of infection and pulmonary edema
Contraindications: Active untreated infections; lactation: avoid chronic use;
known alcohol intolerance; administration of live virus vaccines
Route: IM
Bupivacaine Right Ans - Action: Block the generation and the conduction of
nerve impulses by increasing the threshold for electrical excitation in the
nerve, by slowing the propagation of the nerve impulse, and by reducing the
rate of rise of the action potential.
Use: Numb an area of the body during or after surgery or other procedures or
childbirth episiotomy
Nursing Assessment: Assess, pain, neruo status and vitals signs according to
facility policy and more often if concerns arise
Side Effects: Burning, itching, numbness, tingling, change or loss of taste, chest
pain, ringing of the ears, diarrhea, painful urination, dry mouth, headache, loss
of appetite, muscle pain or cramps, seizures, trouble breathing, unusual
bleeding or bruising
Contraindications: Hypotension, bradycardia, liver disease, anemia, kidney
disease
Route: Injection
Calcium Gluconate Right Ans - Action: Act as an activator in the
transmission of nerve impulses and contraction of cardiac, skeletal, and sooth
muscle
Use: Treatment and prevention of hypocalcemia
, Nursing Assessment: Monitor BP, pulse, and ECG before and after
administration
Side Effects: Arrhythmias, hypercalcemia, constipation, phlebitis at IV site,
cardiac arrest
Contraindications: Hypercalcemia; renal calculi; V-Fib; concurrent use of
calcium supplements
Route: PO and IV
Misoprostol (Cytotec) Right Ans - Action: Binds to myometrial cells to
cause trong myometrial contractions leading to expulsion of tissue
Use: used to soften and effece the cervix and initiate labor
Nursing Assessment: drug should not be given within 4 hours or less of
pitocin, fetal heart rate monitored continuously, only administered with
uterine activity
Side Effects: Headache, abdominal pain, nausea, diarrhea
Contraindications: nonreassuring fetal heart rate, frequent moderate uterine
contractions, prior c section or uterine birth, placenta previa, undiagnosed
vaginal bleeding
Clomiphene citrate (Clomid) Right Ans - Action: Acts on the hypothalamus,
pituitary gland and ovary to Increases levels of FSH and LH to trigger
ovulation
Use: Used to cause ovulation
Nursing Assessment: Monitor lipid laboratory panel
Side Effects: Increases rate of multiple pregnancies, hot flashes, headaches,
abdominal bloating and pain, n/v, breast tenderness & mood changes
Contraindications: Hypersensitivity to drug, pregnancy, breastfeeding, hx of
hepatic impairment or disease, abnormal uterine bleeding, uncontrolled
adrenal dysfunction
Route: PO
Depo-Provera Right Ans - Action: Inhibits the secretion of gonadotropins
which prevents follicular maturation and ovulation and causes thickening of
cervical mucus
Use: Prevention of pregnancy and manage medical conditions related to the
menstrual cycle, suppresses ovulation
Nursing Assessment: Assess area around injection site before and after
administration (looking for redness, swelling, irritation, bleeding, etc.)
