Maternal EAQs 1-5

Maternal EAQs 1-5 Which birth control agent requires administration once every three months? - Intramuscular Progestin Which teratogenic effect is seen due to lithium? - Ebstein anomaly Which drug is known as an abortion pill? - Mifepristone What is the action of oxytocin in a pregnant client at term? - Induction of labor Which category of drugs carries fetal risk in humans? - X Which drug taken by a pregnant woman shows a delayed teratogenic effect in the offspring, making the effect difficult to identify? - Diethylstilbestrol A multipara is admitted to the birthing room in active labor. Her temperature is 98° F (36.7° C); pulse, 70 beats/min; respirations, 18 breaths/min; and blood pressure, 126/76 mm Hg. A vaginal examination reveals a cervix that is 90% effaced and 7 cm dilated with the vertex presenting at 2+ station. The client is complaining of pain and asks for medication. Which medication may cause respiratory depression in the newborn? - Meperidine A client making her first visit to the prenatal clinic asks which immunization can be administered safely to a pregnant woman. What should the nurse tell her? - Influenza A 31-year-old client is seeking contraceptive information. Before responding to the client's questions about contraceptives, the nurse obtains a health history. What factor in the client's history indicates to the nurse that oral contraceptives are contraindicated? - BP of 162/110 During which period of pregnancy do teratogens act in an "all-or-nothing" fashion? - Presomite period A client is admitted for induction of labor. An intravenous infusion of oxytocin is started. When the client's contractions begin they are 1.5 to 2 minutes in duration. While the nurse is in the room, one contraction lasts 3 minutes. What should the nurse do first? - Turn off the oxytocin infusion Which drug is contraindicated during pregnancy but can be safely used by lactating mothers? - Carbamazepine Which oxytocic drug may help to control uterine bleeding post-delivery and promote milk ejection? - oxytocin A client was treated with methotrexate for cancer during the 6th month of her pregnancy. Which teratogenic effect may be seen in the child? - Mental retardation A client is admitted to the birthing unit in active labor. Cervical dilation has progressed from 2 to 3 cm over the previous 8 hours. The primary healthcare provider determines that the client has hypotonic dystocia, and an infusion of oxytocin is prescribed to augment her contractions. What is the most important nursing action at this time? - Monitoring the duration and intensity of the contractions Which pregnancy safety category shows a proven risk of fetal harm, but potential benefits of use during pregnancy may be acceptable despite its risks? - Category C A laboring client who is positive for group B Streptococcus (GBS) is given an initial dose of 2 g of ampicillin at 9 AM. According to established guidelines for intrapartum management of this client, what should the next dose be? - 1 g given at 1 PM Which situation is an indication for an oxytocin infusion? - Induction of labor at full-term Which statements relate to preterm labor? Select all that apply. - 1. The treatment for preterm labor includes bed rest and hydration. 2. Preterm labor before the 20th week is indicative of a nonviable fetus. Which drug is a teratogen that may cause masculinization of a female fetus? - Danazol Which hormone can cause ovulation and promote lactation? - oxytocin What may happen when clomiphene is co-administered with methyldopa to promote ovulation? - Impaired Infertility Which drug is safe to administer to a lactating woman but may cause teratogenic effects when administered to pregnant clients? - Carbamazepine What is the most widely used off-label drug for cervical ripening and the enhancement of uterine muscle tone? - Misoprostol A primigravida has just given birth. The nurse is aware that the client has type AB Rh-negative blood. Her newborn's blood type is B positive. What should the plan of care include? - Obtaining a prescription to administer Rho(D) immune globulin to the mother