2025/2026UPDATE MIAMI DADE COLLEGE, MIAMI NUR
1211L PHARMACOLOGY 10TH EDITION EXAM
QUESTIONS AND ANSWERS BEST RATED A+
GUARANTEED SUCCESS
Chapter 50: Labor, Delivery, and Postpartum
McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 10th Edition
MULTIPLE
CHOICE
1. The nurse is caring for a woman who is in early labor. The woman wants to avoid pain medications as long
as possible. What will the nurse tell her? a. “I can give you a sedative-hypnotic now to help you relax.”
b. “I can teach you some simple breathing exercises to help lessen discomfort.”
c. “If you take fentanyl (Sublimaze) now, it will be more effective than if you wait.”
d. “You may take ibuprofen, which won’t cause drowsiness.”
ANS: B
Breathing and relaxation techniques are often used as nonpharmacologic measures to control pain during
labor. Sedatives are often used to decrease maternal anxiety during false labor, latent labor, or with
ruptured membranes without true labor. Fentanyl is generally not given until active labor. Ibuprofen is
generally used postpartum for relief of mild to moderate pain.
DIF: Cognitive Level: Applying
(Application) TOP: Nursing Process:
Nursing Intervention
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
2. The nurse is caring for an infant who is 2 days postpartum and notes that the infant has a
poor sucking response. Which of the following medications can contribute N
to delayed breastfeeding with a poor sucking response for up to 4 days if used during labor?
a. Butorphanol tartrate (Stadol)
b. Fentanyl (Sublimaze)
c. Nalbuphine (Nubain)
d. Pentobarbital (Nembutal)
,2025/2026UPDATE MIAMI DADE COLLEGE, MIAMI NUR
1211L PHARMACOLOGY 10TH EDITION EXAM
QUESTIONS AND ANSWERS BEST RATED A+
GUARANTEED SUCCESS
ANS: D
Sedative-hypnotic drugs, such as pentobarbital, can cause neonatal respiratory depression, hypotonia, and a
poor sucking response up to 4 days.
Butorphanol tartrate, fentanyl, and nalbuphine do not have prolonged effects.
DIF: Cognitive Level: Applying
(Application) TOP: Nursing Process:
Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
3. The nurse is caring for a woman who is in labor. The woman is anxious and reports increasing
nausea after receiving an opioid analgesic medication. The nurse will contact the provider and
request an order for which intravenous medication?
a. Hydroxyzine HCl (Vistaril)
b. Pentobarbital sodium (Nembutal)
c. Promethazine (Phenergan)
d. Pentobarbital (Nembutal)
ANS: C
Phenergan is used as an adjunct to narcotic analgesics to potentiate pain relief, control anxiety, and reduce
nausea. Hydroxyzine may have similar effects but is not given intravenously. Pentobarbital is used for
anxiety only.
DIF: Cognitive Level: Applying
(Application) TOP: Nursing Process:
Nursing Intervention
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
4. The nurse is preparing a woman who is in labor for a lumbar epidural and explains that she
will receive a continuous infusion of epidural anesthesia. She asks what will happen if that isn’t
effective. What response by the nurse is correct?
,2025/2026UPDATE MIAMI DADE COLLEGE, MIAMI NUR
1211L PHARMACOLOGY 10TH EDITION EXAM
QUESTIONS AND ANSWERS BEST RATED A+
GUARANTEED SUCCESS
a. “Increasing the amount of anesthesia will increase the risk of postdural headache.”
b. “You should tell the provider, and you may receive rescue doses of anesthesia if needed.”
c. “Epidural anesthesia cannot be combined with oral anesthesia.”
d. “The consistent level provided by the continuous anesthesia will be sufficient.”
ANS: B
Continuous epidural anesthesia provides a consistent drug level and more effective pain relief than with
intermittent epidural anesthesia. Patients may have rescue doses as needed.
Postdural headache occurs with accidental puncture of the dura with epidural anesthesia.
DIF: Cognitive Level: Understanding
(Comprehension) TOP: Nursing Process:
Nursing Intervention
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
5. The nurse is assisting with placement of epidural anesthesia for a woman who is in labor. To help prevent
maternal hypotensNion, which is the nurse’s initial action?
a. Administer 40–80 mcg of intravenous phenylephrine.
b. Infuse a bolus of 500–1000 mL of an isotonic solution before the procedure.
c. Monitor the patient’s blood pressure closely during epidural placement.
d. Turn the patient onto her left side and give a rapid bolus of IV fluids.
ANS: B
To decrease risk of maternal hypotension before epidural placement, an IV bolus of 500–1000 mL of an
isotonic solution is initially given. When hypotension develops, the woman should be turned to her left side
and administered a rapid bolus of IV fluids. Phenylephrine is given if hypotension does not resolve. Blood
pressure should be monitored throughout the procedure.
DIF: Cognitive Level: Applying
(Application) TOP: Nursing Process:
Nursing Intervention
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
, 2025/2026UPDATE MIAMI DADE COLLEGE, MIAMI NUR
1211L PHARMACOLOGY 10TH EDITION EXAM
QUESTIONS AND ANSWERS BEST RATED A+
GUARANTEED SUCCESS
6. The nurse examines a woman who has received an epidural block. The woman’s cervix has
been dilated at 5 cm for an hour after having shown steady progression earlier. The nurse will
notify the provider and anticipate a need for: a. caesarean section.
b. forceps delivery.
c. intravenous oxytocin.
d. vacuum extraction.
ANS: C
1211L PHARMACOLOGY 10TH EDITION EXAM
QUESTIONS AND ANSWERS BEST RATED A+
GUARANTEED SUCCESS
Chapter 50: Labor, Delivery, and Postpartum
McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 10th Edition
MULTIPLE
CHOICE
1. The nurse is caring for a woman who is in early labor. The woman wants to avoid pain medications as long
as possible. What will the nurse tell her? a. “I can give you a sedative-hypnotic now to help you relax.”
b. “I can teach you some simple breathing exercises to help lessen discomfort.”
c. “If you take fentanyl (Sublimaze) now, it will be more effective than if you wait.”
d. “You may take ibuprofen, which won’t cause drowsiness.”
ANS: B
Breathing and relaxation techniques are often used as nonpharmacologic measures to control pain during
labor. Sedatives are often used to decrease maternal anxiety during false labor, latent labor, or with
ruptured membranes without true labor. Fentanyl is generally not given until active labor. Ibuprofen is
generally used postpartum for relief of mild to moderate pain.
DIF: Cognitive Level: Applying
(Application) TOP: Nursing Process:
Nursing Intervention
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
2. The nurse is caring for an infant who is 2 days postpartum and notes that the infant has a
poor sucking response. Which of the following medications can contribute N
to delayed breastfeeding with a poor sucking response for up to 4 days if used during labor?
a. Butorphanol tartrate (Stadol)
b. Fentanyl (Sublimaze)
c. Nalbuphine (Nubain)
d. Pentobarbital (Nembutal)
,2025/2026UPDATE MIAMI DADE COLLEGE, MIAMI NUR
1211L PHARMACOLOGY 10TH EDITION EXAM
QUESTIONS AND ANSWERS BEST RATED A+
GUARANTEED SUCCESS
ANS: D
Sedative-hypnotic drugs, such as pentobarbital, can cause neonatal respiratory depression, hypotonia, and a
poor sucking response up to 4 days.
Butorphanol tartrate, fentanyl, and nalbuphine do not have prolonged effects.
DIF: Cognitive Level: Applying
(Application) TOP: Nursing Process:
Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
3. The nurse is caring for a woman who is in labor. The woman is anxious and reports increasing
nausea after receiving an opioid analgesic medication. The nurse will contact the provider and
request an order for which intravenous medication?
a. Hydroxyzine HCl (Vistaril)
b. Pentobarbital sodium (Nembutal)
c. Promethazine (Phenergan)
d. Pentobarbital (Nembutal)
ANS: C
Phenergan is used as an adjunct to narcotic analgesics to potentiate pain relief, control anxiety, and reduce
nausea. Hydroxyzine may have similar effects but is not given intravenously. Pentobarbital is used for
anxiety only.
DIF: Cognitive Level: Applying
(Application) TOP: Nursing Process:
Nursing Intervention
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
4. The nurse is preparing a woman who is in labor for a lumbar epidural and explains that she
will receive a continuous infusion of epidural anesthesia. She asks what will happen if that isn’t
effective. What response by the nurse is correct?
,2025/2026UPDATE MIAMI DADE COLLEGE, MIAMI NUR
1211L PHARMACOLOGY 10TH EDITION EXAM
QUESTIONS AND ANSWERS BEST RATED A+
GUARANTEED SUCCESS
a. “Increasing the amount of anesthesia will increase the risk of postdural headache.”
b. “You should tell the provider, and you may receive rescue doses of anesthesia if needed.”
c. “Epidural anesthesia cannot be combined with oral anesthesia.”
d. “The consistent level provided by the continuous anesthesia will be sufficient.”
ANS: B
Continuous epidural anesthesia provides a consistent drug level and more effective pain relief than with
intermittent epidural anesthesia. Patients may have rescue doses as needed.
Postdural headache occurs with accidental puncture of the dura with epidural anesthesia.
DIF: Cognitive Level: Understanding
(Comprehension) TOP: Nursing Process:
Nursing Intervention
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
5. The nurse is assisting with placement of epidural anesthesia for a woman who is in labor. To help prevent
maternal hypotensNion, which is the nurse’s initial action?
a. Administer 40–80 mcg of intravenous phenylephrine.
b. Infuse a bolus of 500–1000 mL of an isotonic solution before the procedure.
c. Monitor the patient’s blood pressure closely during epidural placement.
d. Turn the patient onto her left side and give a rapid bolus of IV fluids.
ANS: B
To decrease risk of maternal hypotension before epidural placement, an IV bolus of 500–1000 mL of an
isotonic solution is initially given. When hypotension develops, the woman should be turned to her left side
and administered a rapid bolus of IV fluids. Phenylephrine is given if hypotension does not resolve. Blood
pressure should be monitored throughout the procedure.
DIF: Cognitive Level: Applying
(Application) TOP: Nursing Process:
Nursing Intervention
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
, 2025/2026UPDATE MIAMI DADE COLLEGE, MIAMI NUR
1211L PHARMACOLOGY 10TH EDITION EXAM
QUESTIONS AND ANSWERS BEST RATED A+
GUARANTEED SUCCESS
6. The nurse examines a woman who has received an epidural block. The woman’s cervix has
been dilated at 5 cm for an hour after having shown steady progression earlier. The nurse will
notify the provider and anticipate a need for: a. caesarean section.
b. forceps delivery.
c. intravenous oxytocin.
d. vacuum extraction.
ANS: C
