Pharmacological and Parenteral Therapies During
Childbearing practice questions and answers 2026/27
Graded A+
1. The nurse is assessing the female client who is taking clomiphene. Which
finding should indicate to the nurse that the client is experiencing an adverse
effect of the medication?
A. Pelvic pain
B. Nipple discharge
C. Weight gain
D. Watery diarrhea
ANSWER: A
A. Pelvic pain may indicate ovarian enlargement from overstimulation of the ovary.
B. Breast tenderness rather than nipple discharge may occur as an adverse effect of clorniphene.
C. Weight gain is not associated with the use of clomiphene.
D. Watery diarrhea is not associated with the use of clomiphene.
2. The client who is 5 weeks pregnant asks the nurse for information about
mifepristone use for medical abortion- Which statements, if made by the
nurse, are accurate? Select all that apply.
A. “It must be taken immediately after your last menstrual cycle to be effective.”
B. “It will block the action of progesterone on the uterus so that the fetus is aborted.”
C. “Mifepristone must be followed up with a vaginal douche of vinegar and water.”
D. “The success rate is very high, especially if taken within 42 days of conception.”
E. “Mifepristone is given intravenously (IV) in the health care provider’s office.”
F. “Many develop a transient temperature elevation after taking mifepristone.”
ANSWER: B, D
A. Mifepristone does not need to be taken immediately after the last menstrual cycle; however, to
achieve a success rate at or above 91%, it should be taken within 49 days of conception.
B. Mifepristone (Mifeprex) blocks the uterine progesterone receptors in the uterus, thereby
altering the endometrium and causing the detachment of the conceptus.
C. Douching is not required for abortion to occur with mifepristone.
D. The abortion success rate for mifepristone is 96% to 98% when taken within 42 days of
conception.
E. Mifepristone is given orally, not intravenously.
, F. Temperature elevation is a sign of infection and should be reported immediately to the HCP.
3. Prior to administering platelets to a postpartum client with worsening
HELLP syndrome (hemolysis, elevated liver enzymes, and low platelet count),
the nurse reviews the client’s laboratory results. Place an X in the blank
column next to each laboratory value that suggests I-IELLP syndrome.
, Hemolysis (low RBCs), elevated liver enzymes (albumin, AST, ALT, ALP, and total bilirubin), and a low
platelet count are hallmarks of HELLP syndrome. The cause of HELLP syndrome is a genetic disorder of
fatty acid oxidation in the fetus of the pregnant woman. Some women may experience worsening HELLP
syndrome over the first 48-hour postpartum period. Although the WBCs are elevated and the serum
potassium low, these are not associated with HELLP syndrome.
4. The client, preparing to receive vaccinations at a walk-in clinic, tells the
nurse she thinks she may be pregnant. Which vaccine, if needed, should the
nurse prepare to administer to this client?
A. Rubella
B. Varicella
C. Hepatitis B
D. Mumps
ANSWER: C
Childbearing practice questions and answers 2026/27
Graded A+
1. The nurse is assessing the female client who is taking clomiphene. Which
finding should indicate to the nurse that the client is experiencing an adverse
effect of the medication?
A. Pelvic pain
B. Nipple discharge
C. Weight gain
D. Watery diarrhea
ANSWER: A
A. Pelvic pain may indicate ovarian enlargement from overstimulation of the ovary.
B. Breast tenderness rather than nipple discharge may occur as an adverse effect of clorniphene.
C. Weight gain is not associated with the use of clomiphene.
D. Watery diarrhea is not associated with the use of clomiphene.
2. The client who is 5 weeks pregnant asks the nurse for information about
mifepristone use for medical abortion- Which statements, if made by the
nurse, are accurate? Select all that apply.
A. “It must be taken immediately after your last menstrual cycle to be effective.”
B. “It will block the action of progesterone on the uterus so that the fetus is aborted.”
C. “Mifepristone must be followed up with a vaginal douche of vinegar and water.”
D. “The success rate is very high, especially if taken within 42 days of conception.”
E. “Mifepristone is given intravenously (IV) in the health care provider’s office.”
F. “Many develop a transient temperature elevation after taking mifepristone.”
ANSWER: B, D
A. Mifepristone does not need to be taken immediately after the last menstrual cycle; however, to
achieve a success rate at or above 91%, it should be taken within 49 days of conception.
B. Mifepristone (Mifeprex) blocks the uterine progesterone receptors in the uterus, thereby
altering the endometrium and causing the detachment of the conceptus.
C. Douching is not required for abortion to occur with mifepristone.
D. The abortion success rate for mifepristone is 96% to 98% when taken within 42 days of
conception.
E. Mifepristone is given orally, not intravenously.
, F. Temperature elevation is a sign of infection and should be reported immediately to the HCP.
3. Prior to administering platelets to a postpartum client with worsening
HELLP syndrome (hemolysis, elevated liver enzymes, and low platelet count),
the nurse reviews the client’s laboratory results. Place an X in the blank
column next to each laboratory value that suggests I-IELLP syndrome.
, Hemolysis (low RBCs), elevated liver enzymes (albumin, AST, ALT, ALP, and total bilirubin), and a low
platelet count are hallmarks of HELLP syndrome. The cause of HELLP syndrome is a genetic disorder of
fatty acid oxidation in the fetus of the pregnant woman. Some women may experience worsening HELLP
syndrome over the first 48-hour postpartum period. Although the WBCs are elevated and the serum
potassium low, these are not associated with HELLP syndrome.
4. The client, preparing to receive vaccinations at a walk-in clinic, tells the
nurse she thinks she may be pregnant. Which vaccine, if needed, should the
nurse prepare to administer to this client?
A. Rubella
B. Varicella
C. Hepatitis B
D. Mumps
ANSWER: C
