maternal exam 6/Complete Q’s and
A’s
The nurse is caring for a pregnant patient who has been prescribed
terbutaline (Brethine) to relax the uterus. Following the assessment, the
nurse informs the primary health care provider (PHP) that it is not safe to
administer terbutaline (Brethine) to the patient. Which patient condition
leads the nurse to such a conclusion?
1
Blood pressure of 80/60 mm Hg
2
Short episode of hyperglycemia
3
Irregular episodes of dysrhythmias
4
Heart rate of less than 120 beats/min - -correct 1
Blood pressure of 80/60 mm Hg
- During the active phase of labor, the nurse prepares for the insertion of an
intrauterine pressure catheter (IUPC) to a pregnant patient. What patient
clinical presentation would be the reason for this intervention?
1
Amniotic fluid of 300 mL
2
Cervical dilation of 6 cm
3
Complete deprivation of sleep in the patient
4
Reduced uterine contractions (UCs) - -Correct 4
Reduced uterine contractions (UCs)
- A pregnant patient is administered misoprostol (Cytotec) to induce labor.
After 8 hours of drug administration, the patient develops diarrhea and
vomiting. What does the nurse do to alleviate the symptoms?
1
Administer terbutaline (Brethine).
2
Administer oxytocin (Pitocin) infusion.
3
Give a magnesium containing antacid.
4
Increase the time between doses - -correct 1
Administer terbutaline (Brethine).
, - A pregnant patient has been administered terbutaline (Brethine) as
prescribed. The nurse finds that the patient has a heart rate of 140
beats/min and complains of chest pain. What is the best nursing action in
this situation?
1
Administer propranolol (Inderal).
2
Administer intravenous fluids.
3
Administer 1 g calcium gluconate.
4
Inform the primary health care provider (PHP) - -4
Inform the primary health care provider (PHP)
- The nurse is preparing to administer terbutaline (Brethine) to a pregnant
patient who is in preterm labor. What questions should the nurse ask the
patient before drug administration to promote drug safety? Select all that
apply.
1
"Do you ever have migraine headaches?"
2
"Do you have pregnancy-induced diabetes?"
3
"Do you suffer from nausea and vomiting?"
4
"Do you suffer from any cardiac disease?"
5
"Do you experience urinary frequency? - -correct
1
"Do you ever have migraine headaches?"
2
"Do you have pregnancy-induced diabetes?"
4
"Do you suffer from any cardiac disease?"
- While caring for a patient who is treated with terbutaline (Brethine), the
nurse tries to reduce pressure on the patient's cervix to prevent preterm
labor. Which nursing action would be most relevant?
1
Suggesting that the patient lie on her side
2
Infusing Ringer's lactate solution intravenously
3
Increasing the terbutaline (Brethine) concentration
4
Encouraging drinking a full glass of water periodically - -correct
, 1
Suggesting that the patient lie on her side
- Which technique is least effective for the woman with persistent occipito
posterior position?
1
Squat
2
Lie supine and relax
3
Sit or kneel, leaning forward with support
4
Rock the pelvis back and forth while on hands and knees - -correct
2
Lie supine and relax
- The nurse observes that a pregnant patient who is taking terbutaline
(Brethine) treatment has a heart rate of 135 beats/min. Which medication
administration does the nurse expect the primary health care provider (PHP)
to order?
1
Intravenous (I.V.) propranolol (Inderal)
2
1 g I.V. calcium gluconate
3
Oral dose of 20 mg of nifedipine (Adalat)
4
500 mg of I.V. calcium chloride for 30 minutes - -correct
1
Intravenous (I.V.) propranolol (Inderal)
- The nurse hears the fetal heart tones by placing a fetoscope above the
umbilicus of a pregnant patient. What would the nurse infer from this
assessment?
1
The head of the fetus will be observed initially during birth.
2
The patient cannot be administered oxytocin (Pitocin) during labor.
3
The patient cannot be administered terbutaline (Brethine) during labor.
4
The lower extremities of the fetus will be observed initially during birth - -
correct
4
The lower extremities of the fetus will be observed initially during birth
A’s
The nurse is caring for a pregnant patient who has been prescribed
terbutaline (Brethine) to relax the uterus. Following the assessment, the
nurse informs the primary health care provider (PHP) that it is not safe to
administer terbutaline (Brethine) to the patient. Which patient condition
leads the nurse to such a conclusion?
1
Blood pressure of 80/60 mm Hg
2
Short episode of hyperglycemia
3
Irregular episodes of dysrhythmias
4
Heart rate of less than 120 beats/min - -correct 1
Blood pressure of 80/60 mm Hg
- During the active phase of labor, the nurse prepares for the insertion of an
intrauterine pressure catheter (IUPC) to a pregnant patient. What patient
clinical presentation would be the reason for this intervention?
1
Amniotic fluid of 300 mL
2
Cervical dilation of 6 cm
3
Complete deprivation of sleep in the patient
4
Reduced uterine contractions (UCs) - -Correct 4
Reduced uterine contractions (UCs)
- A pregnant patient is administered misoprostol (Cytotec) to induce labor.
After 8 hours of drug administration, the patient develops diarrhea and
vomiting. What does the nurse do to alleviate the symptoms?
1
Administer terbutaline (Brethine).
2
Administer oxytocin (Pitocin) infusion.
3
Give a magnesium containing antacid.
4
Increase the time between doses - -correct 1
Administer terbutaline (Brethine).
, - A pregnant patient has been administered terbutaline (Brethine) as
prescribed. The nurse finds that the patient has a heart rate of 140
beats/min and complains of chest pain. What is the best nursing action in
this situation?
1
Administer propranolol (Inderal).
2
Administer intravenous fluids.
3
Administer 1 g calcium gluconate.
4
Inform the primary health care provider (PHP) - -4
Inform the primary health care provider (PHP)
- The nurse is preparing to administer terbutaline (Brethine) to a pregnant
patient who is in preterm labor. What questions should the nurse ask the
patient before drug administration to promote drug safety? Select all that
apply.
1
"Do you ever have migraine headaches?"
2
"Do you have pregnancy-induced diabetes?"
3
"Do you suffer from nausea and vomiting?"
4
"Do you suffer from any cardiac disease?"
5
"Do you experience urinary frequency? - -correct
1
"Do you ever have migraine headaches?"
2
"Do you have pregnancy-induced diabetes?"
4
"Do you suffer from any cardiac disease?"
- While caring for a patient who is treated with terbutaline (Brethine), the
nurse tries to reduce pressure on the patient's cervix to prevent preterm
labor. Which nursing action would be most relevant?
1
Suggesting that the patient lie on her side
2
Infusing Ringer's lactate solution intravenously
3
Increasing the terbutaline (Brethine) concentration
4
Encouraging drinking a full glass of water periodically - -correct
, 1
Suggesting that the patient lie on her side
- Which technique is least effective for the woman with persistent occipito
posterior position?
1
Squat
2
Lie supine and relax
3
Sit or kneel, leaning forward with support
4
Rock the pelvis back and forth while on hands and knees - -correct
2
Lie supine and relax
- The nurse observes that a pregnant patient who is taking terbutaline
(Brethine) treatment has a heart rate of 135 beats/min. Which medication
administration does the nurse expect the primary health care provider (PHP)
to order?
1
Intravenous (I.V.) propranolol (Inderal)
2
1 g I.V. calcium gluconate
3
Oral dose of 20 mg of nifedipine (Adalat)
4
500 mg of I.V. calcium chloride for 30 minutes - -correct
1
Intravenous (I.V.) propranolol (Inderal)
- The nurse hears the fetal heart tones by placing a fetoscope above the
umbilicus of a pregnant patient. What would the nurse infer from this
assessment?
1
The head of the fetus will be observed initially during birth.
2
The patient cannot be administered oxytocin (Pitocin) during labor.
3
The patient cannot be administered terbutaline (Brethine) during labor.
4
The lower extremities of the fetus will be observed initially during birth - -
correct
4
The lower extremities of the fetus will be observed initially during birth
