Crunch Time

Only 2 days before I take state boards!! NCLEX ? Crunch time.

Here are some Obstetric Pharmacology NCLEX questions:

1) In assessing a premature neonate, which assessment finding should the nurse anticipate as a result of the ritodrine (Yutopar) therapy?
A. Respiratory distress
B. Hypertension
C. Hypothermia
D. Hypoglycemia

2) A client is scheduled for induction of labor at 40 weeks gestation. The nurse knows the safest technique for the antepartum administration of oxytocin (pitocin) is:
A. In an IV bag diluted per protocol
B. In an IV bag piggybacked into the main IV line
C. In two separate IM injections
D. IV bolus slowly over 20 minutes

3) Which assessment must the nurse make prior to the safe administration of IV oxytocin (pitocin)?
A. Cervical dilation
B. Fetal station
C. Maternal blood pressure
D. Fetal position

4) A client receiving magnesium sulfate for treatment of severe pregnancy induced hypertension (PIH) begins to show manifestations of magnesium intoxication, and the decision is made to administer calcium gluconate. The nurse will use which of the following methods to administer the calcium gluconate? Administration via:
A. Rapid IV push
B. IM injection
C. IV drip
D. Slow IV push

5) Which clinical finding would indicate to the nurse an adverse reaction to betamethasone (Celestone) in an antepartum client?
A. BP of 90/52
B. Muscle weakness and cramping
C. Temp of 103
D. Blood sugar of 64

6) Which does the nurse understand to be an action of dinoprostone (Prepidil)? It is a:
A. Vasodilator which can be used to stimulate contractions and induce labor in post-term clients.
B. Vasoconstrictor which can be used to delay the onset of premature labor contractions.
C. Vasodilator which can be used to ripen and soften the cervix in term clients.
D. Vasoconstrictor which can be used to increase uterine contractility in postpartum hemorrhage.

7) The nurse determines that administration of magnesium sulfate would be contraindicated for the:
A. Mildly pre-eclamptic multigravida client at 38 weeks gestation.
B. Severely pre-eclamptic multipara client in the first stage of labor.
C. Mildly pre-eclamptic primigravida client in preterm labor at 34 weeks gestation.
D. Primipara client with severe pre-eclampsia during the first post-partum day.

Answers: 1) D 2) B 3) D 4) D 5) B 6) D 7) A
Questions from Meds Pub Online Review