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Chapter 5. Principles of Pharmacotherapy in Pregnancy and Lactation
on
on
MULTIPLE CHOICE
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fid
1. The client has been prescribed Doxylamine (Unisom) for treatment of nausea and vomiting
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en
during pregnancy. What aspect of the client’s history will cause the nurse to contact the
primary health care provider?
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a. Arthritis
b. Depression
c. Asthma
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d. Hyperglycemia
ANS: C PTS: 1
N
2. The nurse is teaching a group of pregnant women the importance of adequate nutrition for
the fetus. The nurse instructs the clients that folic acid deficiency during preconception and
U
early in pregnancy can result in:
a. skeletal defects.
b. neural tube defects.
R
c. intrauterine growth retardation.
d. small-for-gestational-age infants.
ANS: B PTS: 1
SE
3. A client is ordered to receive iron and antacids. The nurse teaches the client that iron and
antacids should be administered:
a. at the same time.
b. 2 hours apart.
c. with the antacid first.
D
d. with the iron first.
ANS: B PTS: 1
O
4. A client, 10 weeks pregnant, complains of severe nausea of pregnancy. Meclizine (Bonine)
is prescribed. The client reports to the nurse that she has begun to experience dizziness.
What is the highest priority nursing intervention?
a. Contact the pharmacist; this indicates an overdosage of the medication.
C
b. Contact the physician; this is an expected side effect of the medication.
c. Contact the pharmacist; this indicates incorrect preparation of the medication.
d. Contact the physician; this is an adverse reaction to the medication.
S
ANS: B PTS: 1
5. A client complains of severe pregnancy-related nausea and is placed on Meclizine (Bonine).
C
The nurse notes in the client history that the client is undergoing treatment for glaucoma.
on
What is the highest priority nursing intervention?
a. Recognize that one of the off-label uses for the drug is treatment of glaucoma.
b. Contact the pharmacist; the dosage of the drug should be decreased when
fid
glaucoma is present.
c. Recognize that use of the drug when glaucoma is present may result in a fatal
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l
,C
C
reaction.
d. Contact the physician; the drug should be used with caution when glaucoma is
on
on
present.
fid
fid
ANS: D PTS: 1
6. Betamethasone (Celestone) is ordered for a client in preterm labor. The client asks the nurse
en
en
what the medication will do to help her. The nurse explains to the client that the medication
will:
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a. help her to breathe more effectively during the labor process.
b. prevent her infant from developing respiratory distress syndrome.
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l
c. help her infant to breathe more effectively during the labor process.
d. prevent her from developing congestive heart failure during labor.
N
ANS: B PTS: 1
7. A client is admitted to the labor and delivery unit and is being treated with terbutaline
(Brethine). The nurse plans the client’s care with the knowledge that this medication is used
U
to:
a. induce labor.
b. decrease uterine contractions.
R
c. stimulate fetal heart rate.
d. enhance placental blood flow.
ANS: B PTS: 1
SE
8. The client is being treated with hydralazine hydrochloride (Apresoline). What would be a
positive outcome for the client as a result of treatment with this medication?
a. Diastolic BP is maintained between 90 and 110 mm Hg.
b. Diastolic BP is maintained between 70 and 90 mm Hg.
c. Systolic BP is maintained between 100 and 120 mm Hg.
D
d. Systolic BP is maintained between 90 and 110 mm Hg.
ANS: A PTS: 1
O
9. A client diagnosed with pregnancy-induced hypertension (PIH) is treated with magnesium
sulfate. The nurse tells the client that the purpose of this treatment is to:
a. prolong labor.
C
b. prevent seizures.
c. increase blood pressure.
d. stimulate urination.
S
ANS: B PTS: 1
10. A prenatal client discloses that she takes high doses of vitamins. Which is the most accurate
C
instruction that the nurse can provide in response to the client’s statement?
a. “High levels of vitamins may cause harm to the fetus.”
on
b. “Only water-soluble vitamins may be harmful during pregnancy.”
c. “Megadoses of vitamins are associated with positive birth outcomes.”
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d. “Vitamin supplementation is not needed during pregnancy.”
ANS: A PTS: 1
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l
, C
C
11. A pregnant woman experiences constipation. The nurse anticipates that which laxative may
on
on
be used first after activity and dietary methods are unsuccessful?
a. Mineral oil
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fid
b. Psyllium (Metamucil)
c. Lactulose
en
en
d. Milk of magnesia
ANS: B PTS: 1
tia
tia
12. The client is scheduled for treatment with betamethasone (Celestone). The nurse anticipates
l
l
that this medication will be administered via the route.
a. oral
b. intravenous
N
c. intramuscular
d. subcutaneous
U
ANS: C PTS: 1
13. 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
R
her pregnancy.
a. 38
b. 36
SE
c. 35
d. 33
ANS: D PTS: 1
14. 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?
D
a. Intradermally
b. Intravenously
c. Intramuscularly via Z-track technique
O
d. Subcutaneously via Z-track technique
ANS: C PTS: 1
C
15. 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
S
b. 3 to 4
c. 4 to 5
d. 5 to 6
C
ANS: D PTS: 1
on
16. A client is being treated with an ergot alkaloid medication. Which observation would cause
the nurse to contact the primary healthcare provider?
fid
a. Hypertension
b. Itching
en
tia
l
tia
en
fid
on
C
l l
tia tia
en en
fid fid
on on
C C
,C
C
Chapter 5. Principles of Pharmacotherapy in Pregnancy and Lactation
on
on
MULTIPLE CHOICE
fid
fid
1. The client has been prescribed Doxylamine (Unisom) for treatment of nausea and vomiting
en
en
during pregnancy. What aspect of the client’s history will cause the nurse to contact the
primary health care provider?
tia
tia
a. Arthritis
b. Depression
c. Asthma
l
l
d. Hyperglycemia
ANS: C PTS: 1
N
2. The nurse is teaching a group of pregnant women the importance of adequate nutrition for
the fetus. The nurse instructs the clients that folic acid deficiency during preconception and
U
early in pregnancy can result in:
a. skeletal defects.
b. neural tube defects.
R
c. intrauterine growth retardation.
d. small-for-gestational-age infants.
ANS: B PTS: 1
SE
3. A client is ordered to receive iron and antacids. The nurse teaches the client that iron and
antacids should be administered:
a. at the same time.
b. 2 hours apart.
c. with the antacid first.
D
d. with the iron first.
ANS: B PTS: 1
O
4. A client, 10 weeks pregnant, complains of severe nausea of pregnancy. Meclizine (Bonine)
is prescribed. The client reports to the nurse that she has begun to experience dizziness.
What is the highest priority nursing intervention?
a. Contact the pharmacist; this indicates an overdosage of the medication.
C
b. Contact the physician; this is an expected side effect of the medication.
c. Contact the pharmacist; this indicates incorrect preparation of the medication.
d. Contact the physician; this is an adverse reaction to the medication.
S
ANS: B PTS: 1
5. A client complains of severe pregnancy-related nausea and is placed on Meclizine (Bonine).
C
The nurse notes in the client history that the client is undergoing treatment for glaucoma.
on
What is the highest priority nursing intervention?
a. Recognize that one of the off-label uses for the drug is treatment of glaucoma.
b. Contact the pharmacist; the dosage of the drug should be decreased when
fid
glaucoma is present.
c. Recognize that use of the drug when glaucoma is present may result in a fatal
en
tia
l
,C
C
reaction.
d. Contact the physician; the drug should be used with caution when glaucoma is
on
on
present.
fid
fid
ANS: D PTS: 1
6. Betamethasone (Celestone) is ordered for a client in preterm labor. The client asks the nurse
en
en
what the medication will do to help her. The nurse explains to the client that the medication
will:
tia
tia
a. help her to breathe more effectively during the labor process.
b. prevent her infant from developing respiratory distress syndrome.
l
l
c. help her infant to breathe more effectively during the labor process.
d. prevent her from developing congestive heart failure during labor.
N
ANS: B PTS: 1
7. A client is admitted to the labor and delivery unit and is being treated with terbutaline
(Brethine). The nurse plans the client’s care with the knowledge that this medication is used
U
to:
a. induce labor.
b. decrease uterine contractions.
R
c. stimulate fetal heart rate.
d. enhance placental blood flow.
ANS: B PTS: 1
SE
8. The client is being treated with hydralazine hydrochloride (Apresoline). What would be a
positive outcome for the client as a result of treatment with this medication?
a. Diastolic BP is maintained between 90 and 110 mm Hg.
b. Diastolic BP is maintained between 70 and 90 mm Hg.
c. Systolic BP is maintained between 100 and 120 mm Hg.
D
d. Systolic BP is maintained between 90 and 110 mm Hg.
ANS: A PTS: 1
O
9. A client diagnosed with pregnancy-induced hypertension (PIH) is treated with magnesium
sulfate. The nurse tells the client that the purpose of this treatment is to:
a. prolong labor.
C
b. prevent seizures.
c. increase blood pressure.
d. stimulate urination.
S
ANS: B PTS: 1
10. A prenatal client discloses that she takes high doses of vitamins. Which is the most accurate
C
instruction that the nurse can provide in response to the client’s statement?
a. “High levels of vitamins may cause harm to the fetus.”
on
b. “Only water-soluble vitamins may be harmful during pregnancy.”
c. “Megadoses of vitamins are associated with positive birth outcomes.”
fid
d. “Vitamin supplementation is not needed during pregnancy.”
ANS: A PTS: 1
en
tia
l
, C
C
11. A pregnant woman experiences constipation. The nurse anticipates that which laxative may
on
on
be used first after activity and dietary methods are unsuccessful?
a. Mineral oil
fid
fid
b. Psyllium (Metamucil)
c. Lactulose
en
en
d. Milk of magnesia
ANS: B PTS: 1
tia
tia
12. The client is scheduled for treatment with betamethasone (Celestone). The nurse anticipates
l
l
that this medication will be administered via the route.
a. oral
b. intravenous
N
c. intramuscular
d. subcutaneous
U
ANS: C PTS: 1
13. 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
R
her pregnancy.
a. 38
b. 36
SE
c. 35
d. 33
ANS: D PTS: 1
14. 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?
D
a. Intradermally
b. Intravenously
c. Intramuscularly via Z-track technique
O
d. Subcutaneously via Z-track technique
ANS: C PTS: 1
C
15. 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
S
b. 3 to 4
c. 4 to 5
d. 5 to 6
C
ANS: D PTS: 1
on
16. A client is being treated with an ergot alkaloid medication. Which observation would cause
the nurse to contact the primary healthcare provider?
fid
a. Hypertension
b. Itching
en
tia
l
