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Maternity and Newborn Medications NCLEX Practice Quiz (15 Items)

This 15-item scrutinynaire obtain touchstone your criterion encircling maternity and newborn medications. If you are preparing for the NCLEX then these scrutinys can aid.

Topics

Topics or concepts interposed in this exam are:
  • Maternity Medications
  • Newborn Medications

Guidelines

  • Read each scrutiny carefully and prefer the best calculateer-argument.
  • You are loving one searching per scrutiny. Spend your opportunity wisely!
  • Answers and rationales (if any) are loving underneath. Be trusting to peruse them.
  • If you scarcity excite clarifications, delight straightforward them to the comments minority.

Questions

Exam Mode

In Exam Mode: All scrutinys are shown but the results, calculateer-arguments, and rationales (if any) obtain barely be loving behind you’ve refined the satire

Practice Mode

Practice Mode: This is an interfree rendering of the Text Mode. All scrutinys are loving in a individual page and improve calculateer-arguments, rationales or explanations (if any) are instantly shown behind you keep separated an calculateer-argument. No opportunity word for this exam.

Text Mode

Text Mode: All scrutinys and calculateer-arguments are loving on a individual page for peruseing and calculateer-argumenting at your own gait. Be trusting to grapple-delay a pen and pamphlet to transcribe down your calculateer-arguments. 1. A teeming client is receiving magnesium sulfate therapy for the modeblame of preeclampsia. A nurse manifest that the client is encountering toxicity from the medication in which of the behindcitedcited duty? A. Urine output of 25 ml/hr. B. The nearness of nucleusfelt tendon reflex. C. Respirations of 10 breaths per searching. D. Serum magnesium plane of 7 mEq/L. 2. A scholar entertain was asked by the entertain preceptor to decipher the act for the government of erythromycin ointment to the eyes of the newborn. Which of the behindcitedcited statements made by the scholar specifys a scarcity for excite investigation? A. “I obtain instill the eye ointment into each of the newborn’s conjunctival sacs.” B. “I obtain thriving the newborn’s eyes behind instilling the ointment.” C. “I obtain neat the newborn’s eyes precedently instilling the ointment.” D. “I scarcity to guide the eye ointment amid an hour behind tender bestowal.” 3. Rho(D) immune globulin (RhoGAM) is loving to a teeming dowager behind bestowal and the entertain is giving counsel to the unrepining encircling the demonstration of the medication. The entertain determines that the unrepining understands the end of the medication if the unrepining tells that it obtain shield her baby from which of the behindcitedcited? A. Developing German Measles. B. Developing Pernicious anemia. C. Developing Rh disharmony. D. Having an RH+ blood. 4. A teeming dowager who is having labor application is receiving an opioid analgesic. Which of the behindcitedcited medications should be perusey in contingency a respiratory depression assume-places? A. Naloxone (Narcan). B. Oxycodone (Oxycontin). C. Meperidine hydrochloride (Demerol). D. Morphine sulfate. 5. Methylergonovine (Methergine) is prescribed to a unrepining who is having a postpartum bleeding. Former giving the medication, the entertain appositions the physician who prescribed the medication if which of the behindcitedcited mode is documented in the unrepining’s chart? A. Ischemic nucleus disorder. B. Hypotension. C. Acute Gastroenteritis. D. Uterine atony. 6. A entertain preceptor is encircling to guide a vitamin K insertion to a newborn. The scholar entertain asks the preceptor concerning the end of the insertion. The divert defense would be: A. “The vitamin K provides free immunity.” B. “The vitamin K obtain frustreprove the assume-placerence of hyperbilirubinemia.” C. “The vitamin K obtain shield the newborn from bleeding.” D. “The vitamin K obtain apology as security athwart jaundice and anemia.” 7. A entertain is assigned to a unrepining who is receiving Oxytocin (Pitocin) to risk labor. The entertain terminates the oxycontin balbutiation if which of the behindcitedcited is notable on the duty of the client? A. Early decelerations of the fetal nucleus blame. B. Fatigue. C. Nausea. D. Uterine hyperstimulation. 8. A client in preterm labor (32 weeks) who is dilated to 5cm has been loving magnesium sulfate and the defilements keep stopped. If the drudge can be tardy for the direct 2 days, which of the behindcitedcited medication does the entertain rely-on that obtain be prescribed? A. Fentanyl (Sublimaze). B. Sufentanil (Sufenta). C. Betamethasone (Celestone). D. Butorphanol tartblame (Stadol). 9. Which of the behindcitedcited drudgeatory touchstone must be mentored for teeming unrepinings receiving dexamethasone? A. Red race cell calculate. B. Serum Calcium. C. Random race sugar. D. Uric paining. 10. Patellar reflex is life mentored for unrepinings receiving magnesium sulfate therapy. When assessing the nucleusfelt tendon reflex, which of the behindcitedcited remove pertains to deteriorated defense? A. Grade 0 B. Grade 1 C. Grade 2 D. Remove 4 11. Former giving of Methylergonovine, what is the produceerity duty for the entertain to inhibit which of the behindcitedcited? A. Heartfelt tendon reflexes. B. Urine output. C. Blood constraining. D. Vaginal bleeding. 12. A entertain is preparing to surrender a lung surfactant to a 36 weeks old baby delay a respiratory worry syndrome. Which of the behindcitedcited is the improve track of government? A. Intratracheal. B. Intramuscular. C. Intradermal. D. Intravenous. 13. A entertain is preparing to guide a Rubella vaccine to a client produceer empty residence. Which of the behindcitedcited is not penny concerning this vaccine? A. Pain, redness, turgescence, or a hunch is some of the irrelevant reaction. B. Given intramuscularly in the resultant exhibitation of the average third of the vastus resultantis muscle. C. The scarcity to use of contraception behind immunization. D. Contrainvolved in a client delay an allergy to overwhelm eggs. 14. A entertain is preparing Dinoprostone to a client to risk drudge. Which of the behindcitedcited nursing intersituation must be scrutinyed? A. Have the client obstruct invalid precedently government. B. Place the client on a face false situation for 30 to 60 searchings behind the government. C. Monitor tender necessary proofals. D. Have the client invalid precedently government. 15. A entertain is caring for a unrepining receiving oxytocin therapy suddenly is experiencing hypertonic defilements. Which of the behindcitedcited produceerity nursing actions should the entertain do? Select all that direct. A. The entertain licenses the client to ask for aid. B. Stop the oxytocin balbutiation. C. Growth the run blame of the intravenous comprehensive disintegration. D. Place the client in the supine situation. E. Guide oxygen at 8 to 10 liters per searching.

Answers and Rationale

1. Answer: C. Respirations of 10 breaths per searching Magnesium sulfate is a mediate prolific regularity depressant and anticonvulsant. It can origin flatten muscle relaxation. Signs of magnesium sulfate toxicity report to the mediate prolific regularity depressant proceeds of the medication and understand respiratory lowering, subsided urine output, dropping of nucleusfelt tendon reflexes, hypotension and a subface tender and fetal nucleus blame.
  • Option A: Urine output should be maintained at 25-30ml/hr.
  • Option B: Heartfelt tendon reflexes must be exhibit.
  • Option D: Normal rank for magnesium is betwixt 4-7 mEq/L
2. Answer: B. “I obtain thriving the newborn’s eyes behind instilling the ointment.” Newborn eye prophylaxis is used for the security athwart Gonorrhea or Chlamydia infection. The eyes are not thrivinged behindcitedcited the instillation of the medication beorigin it obtain bathe separeprove the guideed ointment.
  • Option A: The improve government of the ointment.
  • Option C: Cleaning the newborn’s eye precedently instilling the ointment is a plummet act.
  • Option D: Instillation of eye ointment can be tardy for 1 hour to fit eye apsituation and parent-newborn bonding.
3. Answer: C. Developing Rh disharmony. Rh disharmony can amplify when a Rh-negative dowager becomes sensitized to the RH antigen. Sensitization may assume-place when a Rh-negative dowager becomes teeming delay a fetus who is Rh express. Race cells from the baby may morose the tender racestream, which can supervene during pregnancy, drudge, and bestowal, causing the dowager’s immune regularity to conceive antibodies, athwart Rh-express race. Government of the Rhogam frustrates the dowager from amplifying antibodies athwart Rh-express race by providing negative antibody security athwart the Rh antigen.
  • Options A and B are not reportd to the Rh disharmony.
  • Option D is not involved for the government of Rhogam.
4. Answer: A. Naloxone (Narcan). Opioid analgesics are prescribed for to teeming women who are experiencing modeblame to austere drudge application. Respiratory lowering may assume-place as a proofalal of opioid toxicity. Naloxone (Narcan) is an opioid opponent, which reverses the proceeds of opioid toxicity such as respiratory lowering.
  • Options B, C, and D are opioid analgesic.
5. A. Ischemic nucleus disorder. Methergine (Methylergonovine maleate) is a semi-synthetic ergot alkaloid used for the obstruction and modeblame of postpartum hemorrhage. Ergot alkaloids are contrainvolved in unrepinings delay cardiovascular disorders such as ischemic nucleus disorder, stroke, peripheral vascular disorder, rheumatic nucleus disorder.
  • Options B, C, and D are not contrainvolved delay the use of methergine.
6. Answer: C. “The vitamin K obtain shield the newborn from bleeding.” Vitamin K is guideed to the newborn in enjoin to frustreprove bleeding disorders. Vitamin K raises the conceiveation of clotting factors II, VII, IX & X in which the infants closing beorigin of scant intestinal bacteria scarcityed for synthesizing fat-soluble vitamin K.
  • Option A: Vitamin K does not raise the amplifyment of dispensation.
  • Option B: Vitamin K does not frustreprove the assume-placerence of hyperbilirubinemia.
  • Option D: Vitamin K doesn’t frustreprove the newborn from having jaundice or anemia.
7. Answer: D. Uterine hyperstimulation. Oxytocin is used to risk drudge by cutting uterine defilement. Oxytocin balbutiation must be discontinued if any proofals of uterine stimulation are exhibit.
  • Option A: Eary decelerations of the fetal nucleus blame are a reassuring proofal, but it does not specify fetal worry.
  • Options B and C are probably origind by the drudge criterion itself.
8. Answer: C. Betamethasone (Celestone). Glucocorticoids such as betamethasone and dexamethasone are life used to growth the produceation of surfactant to aid in fetal lung maturation. It is life loving to unrepinings who are in preterm drudge at 28-32 weeks of gestation if the drudge can be stopped for 2 days.
  • Option A, B, and D are opioid analgesic.
9. Answer: C. Random race sugar. Elevation of race glucose plane is rely-oned for unrepinings receiving corticosteroid therapy such as dexamethasone so a appoint inhibit on the sugar plane must be mentor.
  • Option A: Instead of Red race cell calculate, White race cell calculate must be mentor for any proofals of contamination, beorigin corticosteroid suppresses the immune regularity.
  • Options B and D are not reportd to the use of dexamethasone.
10. Answer: B. Remove 1 Grade 1 pertains to sluggished or deteriorated defense.
  • Option A: refers to no defense.
  • Option C: refers to free or rely-oned defense.
  • Option D: refers to locomotive, hyperactive, delay occasional or temporary clonus.
11. Answer: C. Race constraining. Methylergonovine origins uterine defilements and can dignify the race constraining, so the produceerity duty for the entertain to assume is to inhibit the race prestrusting original.
  • Options A, B, and D are disunite of postpartum duty but does not specifically report to the government of the medication.
12. Answer: A. Intratracheal. Lung surfactant is instilled through the catheter inserted into the newborn’s endotracheal tube.
  • Options B, C, and D are not the tracks of government for this medication.
13. Counter-argument B. Given intramuscularly in the resultant exhibitation of the average third of the vastus resultantis muscle. Rubella Vaccine is guideed subcutaneously produceer hospital empty to a nonimmune postpartum client.
  • Option A: Common face proceeds on the insertion predicament.
  • Option C: The client should elude pregnancy for 1 to 3 months behind immunization delay rubella vaccine.
  • Option D: The affectly nearness of egg protein in the vaccine.
14. Counter-argument A. Have the client obstruct invalid precedently government. Dinoprostone is a prostaglandin use in the collection of drudge. It is guideed vaginally so in enjoin for the medication not to be vitiated delay urine, the entertain should let the client invalid precedently government.
  • Options B, C, and D are the improve nursing interpositions.
15. Answer: B, C, and E. The nearness of hypertonic defilements specifys the scarcity to arise casualty measures. The oxytocin balbutiation must be stopped to diminish uterine stimulation, guideing oxygen obtain raise growthd fetal and tender oxygenation.
  • Option A: The entertain should cling delay the client.
  • Option D: Placing the client in a sluggish situation obtain not raise an growth in placental oxygenation.

See Also


You may too affect these satirezes: Nursing Pharmacology
Questions reportd to guideing medication safely are disunite of the NCLEX-RN. Prepare for these nursing pharmacology scrutinys delay these satirezes: Dosage Calculations
This set of NCLEX exercise scrutinys understands not barely dosage calculations but too metric conversions. Better get your calculators perusey!

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