Maternal Exam 6 Questions
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
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
