Maternity , New Born Quiz

Question 1

The nurse identifies which antimicrobial medications as safe during breastfeeding?

Answer 1

Penicillins
Macrolides
Cephalosporins

Question 2

Meds to avoid during breastfeeding?

Answer 2

Tetracycline and chloramphenicol

Question 3

The nurse understands which medications places a clients offspring at risk for vaginal cancer?

Question 4

Which chemical would the nurse identify as being responsible for the occurrence of Braxton hicks contractions during the final weeks of pregnancy?

Answer 4

Prostaglandins

( it increases during the final weeks of pregnancy, the prostaglandin concentration increases causing mild myometrial contractions known as as Braxton hicks contractions

Question 5

The nurse understands which medication taken by a pregnant woman may show a delayed teratogenic effect in the off spring?

Answer 5

Diethylstilbestrol

( may cause vaginal cancer in a female child 18 or more years after birth)

Question 6

What suppresses contractions during labor and may cause bleeding in the mother

Answer 6

Aspirin

Question 7

What does not cause fetal harm but may cause osteoporosis in the mother?

Answer 7

Heparin

Question 8

What drug causes drug dependence or alcohol withdrawal syndrome in neonates?

Answer 8

Ethyl alcohol

Question 9

The nurse understands which medication is used as an ovulation stimulant but may cause multiple pregnancies?

Answer 9

Clomiphene

Question 10

Classification of magnesium sulfate

Answer 10

Central nervous system depressant

Question 11

In which week of gestation would the nurse anticipate administering Rho(D) immune globulins to an RH-negative client?

Answer 11

28 weeks

Question 12

What mediation could be the cause of the side effect of hot flashes

Answer 12

Leuprolide

It decreases the levels of luteinizing hormone and follicle stimulating hormone as well as hormone -dependent tissue

Question 13

Which medication may help control uterine bleeding post delivery and promote milk ejection?

Answer 13

Oxytocin

Question 14

Antihistamine considered safe for a woman who plans to breast feed

Answer 14

Loratadine - its not excreted in the breast milk

Question 15

Which period of pregnancy may medication exposure cause meromelia, cleft lip and enamel hypoplasia?

Answer 15

Embryonic period is when gross malformations may occur when the basic shape of the fetus starts developing

Question 16

Indomethacin

Answer 16

Tocolytic agent inhibits prostaglandins activity and is given along with sucralfate to help manage preterm labor

NSAID agent that may cause gastric irritation so sucrafate is administered along with this medication

Question 17

Naegeles rule

Answer 17

Subtract 3 months and add 7 days to the date of the last menstrual period…

Ex - April 14 is LMP so EDB is January 21

Question 18

During which time in pregnancy would the nurse inform the client that the fetus wshows a marked increase in size

Answer 18

During the third trimester

Question 19

Pregnancy hormone to cause the Nausea and vomiting in the first trimester

Answer 19

Human chorionic gonadotropin ( hCG)

Question 20

Which medication is contraindicated during pregnancy but can safely used by lactating mothers?

Answer 20

Carbamazepine (may cause neural tube defects during pregnancy but can safely be used by lactating mothers)

Question 21

The nurse is assessing a client with a tentative diagnosis of hydatidiforn mile. Which clinical finding would the nurse anticipate?

Answer 21

Unusual uterine enlargement