NUR 275: Unit 2 Pharm Exam
Questions and Answers 100% Pass
The nurse is monitoring a client who is receiving oxytocin to induce labor. Which
assessment findings should cause the nurse to immediately discontinue the oxytocin
infusion? Select all that apply.
1.Fatigue
2.Drowsiness
3.Uterine hyperstimulation
4.Late decelerations of the fetal heart rate
5.Early decelerations of the fetal heart rate - ✔✔3.Uterine hyperstimulation
4.Late decelerations of the fetal heart rate
Rationale: Oxytocin stimulates uterine contractions and is a pharmacological method to
induce labor. Late decelerations, a nonreassuring fetal heart rate pattern, is an ominous
COPYRIGHT © 2025 BY BRITTIE DONALD, ALL RIGHTS RESERVED 1
,sign indicating fetal distress. Oxytocin infusion must be stopped when any signs of
uterine hyperstimulation, late decelerations, or other adverse effects occur. Some
obstetricians prescribe the administration of oxytocin in 10-minute pulsed infusions
rather than as a continuous infusion. This pulsed method, which is more like
endogenous secretion of oxytocin, is reported to be effective for labor induction and
requires significantly less oxytocin use. Drowsiness and fatigue may be caused by the
labor experience. Early decelerations of the fetal heart rate are a reassuring sign and do
not indicate fetal distress.
A pregnant client is receiving magnesium sulfate for the management of preeclampsia.
The nurse determines that the client is experiencing toxicity from the medication if
which findings are noted on assessment? Select all that apply.
1.Proteinuria of 3 +
2.Respirations of 10 breaths per minute
3.Presence of deep tendon reflexes
4.Urine output of 20 mL in an hour
5.Serum magnesium level of 4 mEq/L (2 mmol/L) - ✔✔2.Respirations of 10 breaths per
minute
4.Urine output of 20 mL in an hour
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,Rationale: Magnesium toxicity can occur from magnesium sulfate therapy. Signs of
magnesium sulfate toxicity relate to the central nervous system depressant effects of the
medication and include respiratory depression, loss of deep tendon reflexes, and a
sudden decline in fetal heart rate and maternal heart rate and blood pressure.
Respiratory rate below 12 breaths per minute is a sign of toxicity. Urine output should
be at least 25 to 30 mL per hour. Proteinuria of 3 + is an expected finding in a client with
preeclampsia. Presence of deep tendon reflexes is a normal and expected finding.
Therapeutic serum levels of magnesium are 4 to 7.5 mEq/L (2 to 3.75 mmol/L).
The nurse asks a nursing student to describe the procedure for administering
erythromycin ointment to the eyes of a newborn. Which student statement indicates
that further teaching is needed about administration of the eye medication?
1."I will flush the eyes after instilling the ointment."
2."I will clean the newborn's eyes before instilling ointment."
3."I need to administer the eye ointment within 1 hour after delivery."
4."I will instill the eye ointment into each of the newborn's conjunctival sacs." - ✔✔1."I
will flush the eyes after instilling the ointment."
COPYRIGHT © 2025 BY BRITTIE DONALD, ALL RIGHTS RESERVED 3
, Eye prophylaxis protects the newborn against Neisseria gonorrhoeae and Chlamydia
trachomatis. The eyes are not flushed after instillation of the medication because the
flush would wash away the administered medication. Options 2, 3, and 4 are correct
statements regarding the procedure for administering eye medication to the newborn.
A client in preterm labor (31 weeks) who is dilated to 4 cm has been started on
magnesium sulfate and contractions have stopped. If the client's labor can be inhibited
for the next 48 hours, the nurse anticipates a prescription for which medication?
1.Nalbuphine
2.Betamethasone
3.Rho(D) immune globulin
4.Dinoprostone vaginal insert - ✔✔2.Betamethasone
Betamethasone, a glucocorticoid, is given to increase the production of surfactant to
stimulate fetal lung maturation. It is administered to clients in preterm labor at 28 to 32
weeks of gestation if the labor can be inhibited for 48 hours. Nalbuphine is an opioid
analgesic. Rho(D) immune globulin is given to Rh-negative clients to prevent
sensitization. Dinoprostone vaginal insert is a prostaglandin given to ripen and soften
the cervix and to stimulate uterine contractions.
Methylergonovine is prescribed for a woman to treat postpartum hemorrhage. Before
administration of methylergonovine, what is the priority assessment?
COPYRIGHT © 2025 BY BRITTIE DONALD, ALL RIGHTS RESERVED 4
Questions and Answers 100% Pass
The nurse is monitoring a client who is receiving oxytocin to induce labor. Which
assessment findings should cause the nurse to immediately discontinue the oxytocin
infusion? Select all that apply.
1.Fatigue
2.Drowsiness
3.Uterine hyperstimulation
4.Late decelerations of the fetal heart rate
5.Early decelerations of the fetal heart rate - ✔✔3.Uterine hyperstimulation
4.Late decelerations of the fetal heart rate
Rationale: Oxytocin stimulates uterine contractions and is a pharmacological method to
induce labor. Late decelerations, a nonreassuring fetal heart rate pattern, is an ominous
COPYRIGHT © 2025 BY BRITTIE DONALD, ALL RIGHTS RESERVED 1
,sign indicating fetal distress. Oxytocin infusion must be stopped when any signs of
uterine hyperstimulation, late decelerations, or other adverse effects occur. Some
obstetricians prescribe the administration of oxytocin in 10-minute pulsed infusions
rather than as a continuous infusion. This pulsed method, which is more like
endogenous secretion of oxytocin, is reported to be effective for labor induction and
requires significantly less oxytocin use. Drowsiness and fatigue may be caused by the
labor experience. Early decelerations of the fetal heart rate are a reassuring sign and do
not indicate fetal distress.
A pregnant client is receiving magnesium sulfate for the management of preeclampsia.
The nurse determines that the client is experiencing toxicity from the medication if
which findings are noted on assessment? Select all that apply.
1.Proteinuria of 3 +
2.Respirations of 10 breaths per minute
3.Presence of deep tendon reflexes
4.Urine output of 20 mL in an hour
5.Serum magnesium level of 4 mEq/L (2 mmol/L) - ✔✔2.Respirations of 10 breaths per
minute
4.Urine output of 20 mL in an hour
COPYRIGHT © 2025 BY BRITTIE DONALD, ALL RIGHTS RESERVED 2
,Rationale: Magnesium toxicity can occur from magnesium sulfate therapy. Signs of
magnesium sulfate toxicity relate to the central nervous system depressant effects of the
medication and include respiratory depression, loss of deep tendon reflexes, and a
sudden decline in fetal heart rate and maternal heart rate and blood pressure.
Respiratory rate below 12 breaths per minute is a sign of toxicity. Urine output should
be at least 25 to 30 mL per hour. Proteinuria of 3 + is an expected finding in a client with
preeclampsia. Presence of deep tendon reflexes is a normal and expected finding.
Therapeutic serum levels of magnesium are 4 to 7.5 mEq/L (2 to 3.75 mmol/L).
The nurse asks a nursing student to describe the procedure for administering
erythromycin ointment to the eyes of a newborn. Which student statement indicates
that further teaching is needed about administration of the eye medication?
1."I will flush the eyes after instilling the ointment."
2."I will clean the newborn's eyes before instilling ointment."
3."I need to administer the eye ointment within 1 hour after delivery."
4."I will instill the eye ointment into each of the newborn's conjunctival sacs." - ✔✔1."I
will flush the eyes after instilling the ointment."
COPYRIGHT © 2025 BY BRITTIE DONALD, ALL RIGHTS RESERVED 3
, Eye prophylaxis protects the newborn against Neisseria gonorrhoeae and Chlamydia
trachomatis. The eyes are not flushed after instillation of the medication because the
flush would wash away the administered medication. Options 2, 3, and 4 are correct
statements regarding the procedure for administering eye medication to the newborn.
A client in preterm labor (31 weeks) who is dilated to 4 cm has been started on
magnesium sulfate and contractions have stopped. If the client's labor can be inhibited
for the next 48 hours, the nurse anticipates a prescription for which medication?
1.Nalbuphine
2.Betamethasone
3.Rho(D) immune globulin
4.Dinoprostone vaginal insert - ✔✔2.Betamethasone
Betamethasone, a glucocorticoid, is given to increase the production of surfactant to
stimulate fetal lung maturation. It is administered to clients in preterm labor at 28 to 32
weeks of gestation if the labor can be inhibited for 48 hours. Nalbuphine is an opioid
analgesic. Rho(D) immune globulin is given to Rh-negative clients to prevent
sensitization. Dinoprostone vaginal insert is a prostaglandin given to ripen and soften
the cervix and to stimulate uterine contractions.
Methylergonovine is prescribed for a woman to treat postpartum hemorrhage. Before
administration of methylergonovine, what is the priority assessment?
COPYRIGHT © 2025 BY BRITTIE DONALD, ALL RIGHTS RESERVED 4
