NR 565 VERIFIED MIDTERM EXAM QUESTIONS AND
ANSWERS
Which types of drugs taken by a pregnant patient are more likely to have effects
on a fetus?
a. Drugs that are highly polar
b. Ionized drugs
c. Lipid-soluble drugs
d. Protein-bound drugs
c.
A patient in her second trimester of pregnancy tells the nurse she is worried that
a medication she took before knowing she was pregnant might have harmed the
fetus. What will the nurse do?
a. Ask the patient what she took and when she learned she was pregnant.
b. Contact the patient's provider to request an ultrasound.
c. Counsel the patient to consider termination of the pregnancy.
d. Suggest to the patient that she go to a high-risk pregnancy center.
a.
A patient who has just learned she is pregnant has stopped using a prescription
medication that she takes for asthma because she does not want to harm her
baby. What will the nurse tell her?
a. That asthma medications will not affect the fetus
b. That her baby's health is dependent on hers
c. To avoid taking medications during her pregnancy
d. To resume the medication in her second trimester
b.
A pregnant patient in active labor is admitted to the emergency department. A
toxicology screen and a physical assessment reveal that the patient is an active
heroin addict. The nurse who cares for the neonate after delivery should
anticipate which clinical manifestations?
a. Passivity and flat affect
d. Diarrhea and salivation
,c. A shrill cry and irritability
d. Restless sleep and seizures
c.
A pregnant patient asks the nurse about the safe use of medications during the
third trimester. What will the nurse tell her about drugs taken at this stage?
a. They may need to be given in higher doses if they undergo renal clearance.
b. They require lower doses if they are metabolized by the liver.
c. They are less likely to cross the placenta and affect the fetus.
d. They are more likely to cause anatomical defects if they are teratogenic.
a.
A patient has just given birth to a baby boy with a cleft palate. The nurse will
review the patient's medication history with special emphasis on drugs taken
during which period?
a. Before she became pregnant
b. During the first trimester
c. During the second trimester
d. During the third trimester
b.
A nurse is caring for a patient and her newborn immediately after delivery. The
patient's medication history includes prenatal vitamins throughout pregnancy,
one or two glasses of wine before knowing she was pregnant, occasional use of
an albuterol inhaler in her last trimester, and intravenous morphine during labor.
What will the nurse expect to do?
a. Administer opioids to the infant to prevent withdrawal syndrome.
b. Monitor the infant's respirations and prepare to administer naloxone if needed.
c. Note a high-pitched cry and irritability in the infant and observe for seizures.
d. Prepare the patient for motor delays in the infant caused by the alcohol use.
b.
A woman who is breastfeeding her infant must take a prescription medication for
2 weeks. The medication is safe, but the patient wants to make sure her baby
receives as little of the drug as possible. What will the nurse tell the patient to
, do?
a. Give the baby formula as long as the mother is taking the medication
b. Take the medication immediately after breastfeeding
c. Pump breast milk and feed the baby by bottle
d. Take the medication 1 hour before breastfeeding
b.
A nursing student asks the nurse why more is not known about the teratogenic
effects of maternal medication ingestion during pregnancy. Which response by
the nurse is correct?
a. "Clinical trials to assess this risk would put the fetus at risk."
b. "It is safer to recommend that pregnant women avoid medications while
pregnant."
c. "Most women are reluctant to admit taking medications while they are
pregnant."
d. "The relatively new MEPREP study will allow testing of medications during
pregnancy in
the future."
a.
A nurse is teaching a class to a group of pregnant patients. The nurse correctly
teaches that the highest risk of teratogen-induced gross malformations exists
during which time?
a. Immediately before conception
b. During the first trimester
c. During the second trimester
d. During the third trimester
b.
A nurse is caring for an infant after a surgical procedure. After ensuring that the
ordered dose is appropriate for the infant's age and weight, the nurse administers
a narcotic analgesic intravenously. When assessing the infant 15 minutes later,
the nurse notes respirations of 22 breaths/minute and a heart rate of 110
beats/minute. The infant is asleep in the parent's arms and does not awaken when
ANSWERS
Which types of drugs taken by a pregnant patient are more likely to have effects
on a fetus?
a. Drugs that are highly polar
b. Ionized drugs
c. Lipid-soluble drugs
d. Protein-bound drugs
c.
A patient in her second trimester of pregnancy tells the nurse she is worried that
a medication she took before knowing she was pregnant might have harmed the
fetus. What will the nurse do?
a. Ask the patient what she took and when she learned she was pregnant.
b. Contact the patient's provider to request an ultrasound.
c. Counsel the patient to consider termination of the pregnancy.
d. Suggest to the patient that she go to a high-risk pregnancy center.
a.
A patient who has just learned she is pregnant has stopped using a prescription
medication that she takes for asthma because she does not want to harm her
baby. What will the nurse tell her?
a. That asthma medications will not affect the fetus
b. That her baby's health is dependent on hers
c. To avoid taking medications during her pregnancy
d. To resume the medication in her second trimester
b.
A pregnant patient in active labor is admitted to the emergency department. A
toxicology screen and a physical assessment reveal that the patient is an active
heroin addict. The nurse who cares for the neonate after delivery should
anticipate which clinical manifestations?
a. Passivity and flat affect
d. Diarrhea and salivation
,c. A shrill cry and irritability
d. Restless sleep and seizures
c.
A pregnant patient asks the nurse about the safe use of medications during the
third trimester. What will the nurse tell her about drugs taken at this stage?
a. They may need to be given in higher doses if they undergo renal clearance.
b. They require lower doses if they are metabolized by the liver.
c. They are less likely to cross the placenta and affect the fetus.
d. They are more likely to cause anatomical defects if they are teratogenic.
a.
A patient has just given birth to a baby boy with a cleft palate. The nurse will
review the patient's medication history with special emphasis on drugs taken
during which period?
a. Before she became pregnant
b. During the first trimester
c. During the second trimester
d. During the third trimester
b.
A nurse is caring for a patient and her newborn immediately after delivery. The
patient's medication history includes prenatal vitamins throughout pregnancy,
one or two glasses of wine before knowing she was pregnant, occasional use of
an albuterol inhaler in her last trimester, and intravenous morphine during labor.
What will the nurse expect to do?
a. Administer opioids to the infant to prevent withdrawal syndrome.
b. Monitor the infant's respirations and prepare to administer naloxone if needed.
c. Note a high-pitched cry and irritability in the infant and observe for seizures.
d. Prepare the patient for motor delays in the infant caused by the alcohol use.
b.
A woman who is breastfeeding her infant must take a prescription medication for
2 weeks. The medication is safe, but the patient wants to make sure her baby
receives as little of the drug as possible. What will the nurse tell the patient to
, do?
a. Give the baby formula as long as the mother is taking the medication
b. Take the medication immediately after breastfeeding
c. Pump breast milk and feed the baby by bottle
d. Take the medication 1 hour before breastfeeding
b.
A nursing student asks the nurse why more is not known about the teratogenic
effects of maternal medication ingestion during pregnancy. Which response by
the nurse is correct?
a. "Clinical trials to assess this risk would put the fetus at risk."
b. "It is safer to recommend that pregnant women avoid medications while
pregnant."
c. "Most women are reluctant to admit taking medications while they are
pregnant."
d. "The relatively new MEPREP study will allow testing of medications during
pregnancy in
the future."
a.
A nurse is teaching a class to a group of pregnant patients. The nurse correctly
teaches that the highest risk of teratogen-induced gross malformations exists
during which time?
a. Immediately before conception
b. During the first trimester
c. During the second trimester
d. During the third trimester
b.
A nurse is caring for an infant after a surgical procedure. After ensuring that the
ordered dose is appropriate for the infant's age and weight, the nurse administers
a narcotic analgesic intravenously. When assessing the infant 15 minutes later,
the nurse notes respirations of 22 breaths/minute and a heart rate of 110
beats/minute. The infant is asleep in the parent's arms and does not awaken when
