Week 4 EAQ/HESIs Flashcards

1
Q

The nurse performs a nonstress test to evaluate fetal well-being. The client is getting nervous and anxious with the situation. She asks the nurse why she is doing a nonstress test. What is the nurse’s best response?

It measures the oxygen levels of the fetus.

Accelerations of the fetal heart rate in response to uterine contractions.

It evaluates the heart rate of the fetus in response to its own movements.

Late decelerations of the fetal heart rate in response to uterine contractions.

A

It evaluates the heart rate of the fetus in response to its own movements.

The basis for the nonstress test is that the normal fetus with an intact central nervous system (CNS) will respond to fetal movements with an increased heart rate (episodic accelerations). A reactive test is one in which the fetus displays at least two accelerations of 15 beats per minute that last for 15 seconds in a 20-minute period in the presence of a normal baseline rate and moderate variability.

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2
Q

The client asks the nurse why she is getting magnesium sulfate. What is the the nurse’s best response?

“It is a ________________ depressant given to prevent seizures.”

A

central nervous system

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3
Q

The nurse understands which medication may cause gynecological malignancies in females?

Oxytocin

Raloxifene

Thalidomide

Diethylstilbestrol

A

Diethylstilbestrol

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4
Q

Which medication would the nurse identify as being used to manage nonmetastatic gestational trophoblastic disease?

Oxytocin

Mifepristone

Dinoprostone

Methylergonovine

A

Dinoprostone

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5
Q

Which hypothalamic hormone would the nurse identify as helping treat postpartum uterine atony and hemorrhage?

Oxytocin

Indomethacin

Dinoprostone

Methylergonovine

A

Oxytocin

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6
Q

Which medication may be used to treat postpartum hemorrhage?

Clomiphene

Menotropins

Dinoprostone

Methylergonovine

A

Methylergonovine

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7
Q

Which medication is used to inhibit preterm contractions?

Oxytocin

Nifedipine

Raloxifene

Clomiphene

A

Nifedipine

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8
Q

Which medication may cause photophobia as an adverse effect?

Nifedipine

Alendronate

Clomiphene

Acetaminophen

A

Clomiphene

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9
Q

Which medication is a teratogen that may cause masculinization of a female fetus?

Lithium

Danazol

Nitrofurantoin

Carbamazepine

A

Danazol

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10
Q

Which is the most common teratogenic effect associated with thalidomide?

Shortened limbs

Growth delay

Neural tube defects

Cleft lip with cleft palate

A

Shortened limbs

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11
Q

Which teratogenic effect is seen because of lithium?

Stillbirth

Shortened limbs

Ebstein anomaly

Neural tube defects

A

Ebstein anomaly

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12
Q

The nurse identifies which medication as an abortion pill?

Oxytocin

Methotrexate

Mifepristone

Methylergonovine

A

Mifepristone

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13
Q

Which effect would the nurse identify as seen when the fetus is exposed to a teratogen during the embryonic period?

Delay in growth

Gross malformations

Death of the conceptus

Disruption of brain development

A

Gross malformations

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14
Q

A client is taking fertility medications for the first time. Which adverse effect of the medication would the nurse inform the client about?

Vaginitis

Constipation

Joint swelling

Deep vein thrombosis

A

Constipation

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15
Q

Which medication would the nurse identify as being used to induce abortion?

Oxytocin

Mifepristone

Dinoprostone

Indomethacin

A

Mifepristone

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16
Q

Which hormone would the nurse identify as one that aids ovulation and promotes lactation?

Estrogen

Oxytocin

Progestin

Vasopressin

A

Oxytocin

17
Q

Which medication is indicated for evacuation in case of a miscarriage?

Clomiphene

Dinoprostone

Methylergonovine

Magnesium sulfate

A

Dinoprostone

18
Q

Which intrauterine medication exposure may lead to a child being born with a cleft lip?

Phenytoin

Multivitamin

Methotrexate.

Nitrofurantoin

A

Nitrofurantoin

19
Q

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

Estrogen

Oxytocin

Progesterone

Prostaglandins

A

Prostaglandins

20
Q

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

Fetal period

Embryonic period

Presomite period

Preimplantation period

A

Embryonic period

21
Q

Which medication would the nurse identify as a teratogen that causes tooth and bone anomalies?

Alcohol

Estrogen

Tetracycline

Valproic acid

A

Tetracycline

22
Q

A prescription for 6 mg of intramuscular dexamethasone, twice a day for 2 days, is issued to a client who is 32 weeks’ pregnant and having regular labor contractions. The client asks why she needs this medicine. Which reason would the nurse give the client regarding the reason the medication was prescribed?

“It will promote sleep.”

“It may stop contractions.”

“The medication relaxes uterine muscles.”

“The medication accelerates fetal lung maturity.”

A

“The medication accelerates fetal lung maturity.”

23
Q

Which medication is safe to take during pregnancy?

Metronidazole

Aspirin

Codeine

Acetaminophen

A

Acetaminophen

24
Q

Which statement is an accurate description of dysmenorrhea?

Pain with menses

Endometrial hyperplasia

Bleeding between menses

Heavy bleeding with menses

A

Pain with menses

25
Q
A
26
Q
A