A pregnant patient at 32 weeks gestation is prescribed terbutaline after experiencing frequent uterine contractions. Before administering the medication, which assessment is the priority for the nurse?, Maternal heart rate, Maternal Temperature, Bowel sounds, Hemoglobin level, A pregnant paitent is prescribed terbutaline for preterm contractions. Before administering the medication the nurse notes that the paitent's heart rate is 128/min. What action is the most appropriate by the nurse?, Encourage the patient to ambulate before administering the medication, Administer the medication, Make sure the paitent takes it right away to lower blood pressure., Hold the medication and notify the provider because terbutaline can increase maternal heart rate, A postpartum patient has heavy vaginal bleeding shortly after delivery. The nurse sees that oxytocin may be prescribed because which effect is most important in this situation?, It relaxes the uterus to decrease discomfort, It acts as a hormonal birth control, It stimulates uterine contractions to help control postpartum bleeding, It prevents cervical dilation following delivery, A patient is receiving oxytocin to increase labor contractions. The nurse observes contractions occurring every 1 minute and lasting 100 seconds, but fetal heart rate decelerations. What is the nurses next action?, Stop the oxytocin and immediately assess the maternal and fetal status, Increase the oxytocin rate to speed up delivery, Encourage the patient to push harder with each contraction, Continue the oxytocin, After receiving misoprostol, a patient develops facial swelling, hives, wheezing, and difficulty breathing., Ccontinue monitoring for skin changes, Encourage the patient to ambulate to improve circulation, watch for a possible severe allergic reaction and initiate emergency interventions, Administer another dose, A patient is prescribed misoprostol for cervical ripening before labor induction. Before administering the medication, which assessment is most important for the nurse to complete?, assess the fetal heart rate and current uterine contraction pattern, Assess the patient's bowel sounds only, Measure the patient's height and weight, Monitor blood pressure, A patient at 40 weeks' gestation is scheduled for induction of labor. Her cervix is firm, closed, and not yet favorable for induction. Why would the provider consider administering dinoprostone?, To relax the uterus and delay labor, To prevent postpartum uterine bleeding, To decrease maternal blood pressure before delivery, To ripen the cervix and prepare it for labor induction, A patient is receiving dinoprostone for cervical ripening. Before administering the medication, the nurse notes that the patient is already having very frequent contractions and the fetal heart rate shows recurrent late decelerations. What should the nurse do?, Administer the medication, Stop monitoring contractions, Increase the dose to speed up cervical dilation, Hold the medication and notify the provider while assessing maternal and fetal status, A pregnant patient receives IM betamethasone and shortly afterward develops wheezing, facial swelling, generalized hives, and difficulty breathing. Which action should the nurse take first?, Reassure the patient that these are expected corticosteroid effects, Recognize a possible severe allergic reaction and stop administration, Reassess the patient in 30 minutes, Administer the next scheduled dose as prescribed, A patient at 31 weeks' gestation is prescribed IM betamethasone because of a high risk for preterm birth. Before administering the medication, which assessment is most important for the nurse to consider?, Assess for signs of infection and review the patient's blood glucose, Measure cervical dilation because betamethasone directly causes cervical ripening, Assess only maternal blood pressure, The paitents temperature, An Rh-negative pregnant patient is 28 weeks' gestation and has not developed anti-D antibodies. The provider orders RhoGAM. Which explanation best describes the medication's classification and purpose?, Corticosteroid that prevents fetal respiratory complications, Prostaglandin that promotes cervical ripening, Immune globulin that prevents Rh-negative patients from developing antibodies against Rh-positive fetal blood, Uterotonic that increases uterine contractions, An Rh-negative patient gives birth to an Rh-positive newborn. The patient's antibody screen is negative. Which action should the nurse anticipate?, Administer oxytocin instead because RhoGAM increases uterine contractions, Administer RhoGAM only if the mother develops symptoms of an allergic reaction, Withhold RhoGAM because the newborn has already been delivered, Administer RhoGAM postpartum to prevent Rh sensitization, A pregnant patient with severe preeclampsia is prescribed IV magnesium sulfate. The nurse understands that magnesium sulfate is primarily used in this situation for which purpose?, Prevent Rh sensitization, Prevent and control seizures, Promote fetal lung maturation, Stimulate uterine contractions, A patient with severe preeclampsia is receiving magnesium sulfate. The nurse assesses a respiratory rate of 10/min. What should they do?, Stop the magnesium sulfate and notify the provider, Give the paitent an oxygen mask, Increase the infusion rate because the patient remains at risk for seizures, Continue the infusion, A patient experiences postpartum hemorrhage related to uterine atony. After assessing the patient, the nurse prepares to administer methylergonovine. What is the primary therapeutic purpose of this medication?, Relax the uterus to reduce maternal discomfort, Stimulate sustained uterine contraction to decrease bleeding, Increase maternal blood volume, Promote cervical dilation after delivery, A postpartum patient has uterine atony and continued bleeding. Methylergonovine is prescribed. But the paitent is tachycardic before administration. What should the nurse do next, Give the paitent metropolol, Administer a blood thinner, Administer an additional dose if the bleeding continues, Hold the medication and notify the provider because methylergonovine can increase blood pressure, A postpartum patient develops severe uterine atony and continued heavy bleeding despite receiving oxytocin. The nurse reviews the patient's history and confirms that she does not have asthma. Which medication should the nurse anticipate administering to promote uterine contraction and control the hemorrhage?, Terbutaline, Magnesium sulfate, Misoprostol, Hemabate, A postpartum patient develops heavy bleeding after vaginal delivery. The uterus is firm after receiving a uterotonic medication, but significant bleeding continues. Which medication should the nurse anticipate administering to help reduce the bleeding?, Tranexamic acid (TXA), Epidural (Lidocaine), Methylergonovine, Don't give anything, A postpartum patient is receiving Hemabate for uterine atony and postpartum hemorrhage. Which assessment finding would require the nurse to question the prescription before administering the medication?, Tachycardia, Boggy uterus with heavy bleeding, History of severe asthma, Heart rate of 92/min, A postpartum patient receives tranexamic acid (TXA) for postpartum hemorrhage. Which finding would indicate a possible serious adverse reaction that requires immediate nursing attention?, Mild nausea, Headache, Sudden shortness of breath, Muscle soreness, A pregnant patient asks why her prenatal vitamin contains folic acid. Which response by the nurse is most appropriate?, “Folic acid prevents gestational diabetes.”, “Folic acid helps prevent neural tube defects in the developing fetus.”, “Folic acid prevents Rh incompatibility.”, “Folic acid prevents premature labor.”, A pregnant patient taking prenatal vitamins reports constipation. Which intervention should the nurse recommend first?, Increase fluids and dietary fiber., Take an additional iron supplement., Stop taking the prenatal vitamin., Take all medications at once to promote digestion, A pregnant patient reports that she has not been taking her prescribed folic acid. Which complication is the nurse most concerned about?, Gestational hypertension, Placental abruption, Postpartum hemorrhage, Neural tube defects, A patient with a previous pregnancy affected by a neural tube defect is planning another pregnancy. Which action should the nurse anticipate?, Begin folic acid supplementation as recommended before conception., Avoid folic acid because it increases fetal growth., Wait until the second trimester to begin folic acid., Take folic acid only if anemia develops., A patient receives an epidural containing lidocaine during labor. Which assessment finding requires the nurse's immediate attention?, Decreased pain during contractions, Mild numbness of the legs, Warmth in the lower extremities, Blood pressure of 82/48 mmHg, After an epidural containing lidocaine is administered, the patient's blood pressure drops significantly and the fetal heart rate develops recurrent late decelerations. Which action should the nurse take first?, Encourage the patient to push, Administer another dose of lidocaine, Place the patient in a lateral position and assess maternal-fetal status, Encourage the patient to ambulate, Before administering nalbuphine to a laboring patient, which assessment is the priority?, Bowel sounds and electrolyte values, Fundal height, Maternal temperature, Maternal respiratory rate and level of consciousness, A laboring patient who regularly takes a full opioid agonist for chronic pain is prescribed nalbuphine. Which concern should the nurse recognize?, Nalbuphine causes severe hypertension in all patients, Nalbuphine may precipitate opioid withdrawal, Nalbuphine prevents uterine contractions, Nalbuphine will always increase fetal heart rate, A patient receives fentanyl shortly before delivery. Which newborn finding should the nurse monitor for most closely?, Increased muscle tone, Hyperactive reflexes, Respiratory depression, Increased appetite, A laboring patient receives fentanyl and becomes extremely drowsy with shallow respirations. Which medication should the nurse anticipate administering for opioid-induced respiratory depression?, Hemabate, Oxytocin, Corticosteroid (Betamethasone) IM, Naloxone

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