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Miscellaneous Medications MED SURG 2 HESI TEST BANK REAL ... Maternal Child Nurs
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Which medication would the b. nitrofurantoin
nurse identify as a potential
cause for the formation of Nitrofurantoin, an antimicrobial medication, causes formation of
abnormally small eyes in the abnormally small eyes in the newborn. Sex hormone
newborn if used during supplements, such as estrogens, may cause congenital defects
pregnancy? of female reproductive organs. Methotrexate can cause
a. estrogens congenital abnormalities (central nervous system and limbs
b. nitrofurantoin malformations) and fetal death. Valproic acid is high teratogenic
c. methotrexate and cause neural tube defects, atrial septal defect, cleft palate,
d. valproic acid hypospadias, polydactyly, and craniosynostosis.
The nurse understands which a. atenolol
antihypertensive medication is
contraindicated in lactating Atenolol is contraindicated in lactating women because it enters
women? the breastmilk and may cause adverse effects to the neonate.
a. atenolol Labetalol and propanolol are safe to administer during lactation.
b. labetalol Metoprolol is considered a safe medication to be taken during
c. metoprolol lactation
d. propranolol
d. gonadotropin-releasing hormone
Which hormone levels do not
require monitoring during the
Menotropins that are administered for infertility act at the
ministration of menotropins for
pituitary level. Gonadotropin-releasing hormones act at the
infertility?
hypothalamus level; therefore this hormone does not need to be
a. estrogen
monitored. Menotropins is a standardized mixture of follicle-
b. luteinizing hormone
stimulating hormone and luteinizing; these hormones should be
c. follicle-stimulating hormone
monitored. Also, estrogen levels need to be monitored because
d. gonadotropin-releasing
the luteinizing hormone directly stimulates the production of
hormone
estrogen
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, Which birth control agent b. intramuscular progestin
requires administration once
every three months? Intramuscular progestin requires the administration of a single
A. Progestin-only pills injection every three months. Progressed-only oral contraceptive
B. Intramuscular progestin pills should be taken on a daily basis because of a higher
C. Combination biphasic forms incidence of ovulatory cycles. Combination biphasic and
D. Combination monophasic monophasic forms are administered as either a 21 or 28 day
forms course.
Which medication with the nurse c. misoprostol
identify as being used both for
cervical ripening during labor Misoprostol can be used for cervical ripening and as a stomach
and has a stomach protectant? protectant. Raloxifene is used to prevent postmenopausal
a. raloxifene osteoporosis. Clomiphene is used for ovulation. Dinoprostone
b. clomiphene can be used for cervical ripening, but this medication does not
c. misoprostol act as a stomach protectant.
d. dinoprostone
b. gross malformations
Which effect with the nurse
identify as seen when the fetus is
Gross malformations occur if there is exposure to a teratogen
exposed to a teratogen during
during the embryonic period or the first trimester. During the
embryonic period?
fetal period, exposure to a teratogen causes delays in growth
a. delay in growth
and development of the fetus. Death of the conceptus occurs if
b. gross malformations
exposed to a lethal dose of teratogen during the pre-
c. death of the conceptus
implantation period. Exposure to a teratogen during the fetal
d. disruption of brain
period (second or third trimester) causes disruption of brain
development
development.
Which medication may be used d. methylergonovine
to treat postpartum
hemorrhage? Methylergonovine is a medication of choice used to treat
a. clomiphene postpartum hemorrhage. Clomiphene and menotropins are
b. menotropins ovulation stimulants given to induce ovulation in infertile women.
c. dinoprostone Dinoprostone is used to induce cervical ripening and cause
d. methylergonovine termination of a pregnancy.
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c. Ebstein anomaly
Which teratogenic effect is seen
because of lithium?
Ebstein anomaly (cardiac defects) in the newborn occurs
a. stillbirth
because of taking lithium during pregnancy. Stillbirth may occur
b. shortened limbs
because of alcohol use. Shortened limbs may occur because of
c. Ebstein anomaly
thalidomide. Neural tube defects are due to anti seizure
d. neural tube defects
medications.
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Which medication may cause b. Dutasteride
malformations of the male
external genitalia? Dutasteride is a 5-alpha-reductase inhibitor that causes
a. Etretinate malformations of external genitalia in males. Etretinate is a
b. Dutasteride vitamin A derivative that may cause multiple CNS defects.
c. Methimazole Methimazole and propylthiouracil are antithyroid medications
d. Propylthiouracil that may cause goiters and hypothyroidism.
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