ATI RN
Chapter 14 Drugs for the Reproductive System Questions
Question 1 of 5
A 14-year-old girl requests a vaccination for human papillomavirus. After the nurse administers the first dose, which of the following is important to include in the patient's teaching?
Correct Answer: E
Rationale: The correct answer is E: The patient needs to return for the second dose in 2 months and the third dose in 6 months. This is important because the human papillomavirus (HPV) vaccine requires a series of doses to provide optimal protection against HPV infection, which can lead to cervical cancer and other diseases. Option A is incorrect because while the HPV vaccine is effective against certain strains of HPV, it does not prevent all sexually transmitted diseases. Option B is incorrect as Pap smears are still recommended for cervical cancer screening even after HPV vaccination. Option C is not the most important information to convey after the first dose of the HPV vaccine. In an educational context, it is crucial to emphasize the importance of completing the full HPV vaccination series to achieve maximum protection against HPV-related diseases. Providing accurate information and addressing common misconceptions about the HPV vaccine can help empower patients to make informed decisions about their health.
Question 2 of 5
Which assessment finding is most concerning when examining a client in preterm labor who is receiving magnesium sulfate?
Correct Answer: C
Rationale: The correct answer is C, loss of patellar reflexes. This is concerning because it indicates magnesium sulfate toxicity, which can lead to respiratory depression, cardiac arrest, and maternal death. The other choices are less concerning: A (lethargy) is an expected side effect, B (warmth) is a common sensation with magnesium sulfate, and D (positive clonus) is an expected finding with magnesium sulfate therapy. It is essential to monitor for signs of magnesium toxicity to prevent serious complications.
Question 3 of 5
A young adolescent—gravida 1, para 0—is admitted to labor and delivery with preterm labor at 29 weeks' gestation. Which nursing interventions would the nurse include? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Administration of antenatal glucocorticoid. This intervention is recommended for women at risk of preterm birth before 34 weeks to promote fetal lung maturity. Glucocorticoids help accelerate fetal lung maturation by promoting the production of surfactant. This reduces the risk of respiratory distress syndrome in preterm infants. Choice B: Ordering a complete liver function profile is not directly related to managing preterm labor at 29 weeks' gestation. Choice C: Bed rest in the left lateral position is not a standard intervention for preterm labor and may not be supported by evidence-based practice. Choice D: Administration of bolus intravenous fluids is not a standard intervention for preterm labor. Fluid administration may be indicated if the patient is dehydrated or has other specific medical indications, but it is not a routine intervention for preterm labor.
Question 4 of 5
A patient received butorphanol 2 mg intravenously 10 minutes before delivery. Which nursing action is appropriate?
Correct Answer: B
Rationale: The correct answer is B: Have naloxone available. Butorphanol is an opioid agonist-antagonist that can cause respiratory depression in the baby after delivery. Having naloxone available is crucial in case the baby exhibits signs of respiratory distress. Administering butorphanol subcutaneously (Choice A) is not indicated as the patient has already received it intravenously. Administering intravenous fluid bolus (Choice C) is not necessary unless the patient is hypovolemic. Placing oxygen 10 L by nasal cannula (Choice D) may help with maternal oxygenation but does not address the potential respiratory depression in the baby. Naloxone is the specific antidote for opioid-induced respiratory depression and should be readily available in this situation.
Question 5 of 5
Spinal anesthesia with morphine is administered to a patient for pain relief during cesarean section. She complains of itching. The nurse prepares to administer which drug?
Correct Answer: A
Rationale: The correct answer is A: Diphenhydramine. Diphenhydramine is an antihistamine that can help alleviate itching, a common side effect of morphine. It works by blocking histamine receptors. Ephedrine sulfate is a sympathomimetic drug used for hypotension, not itching. Butorphanol tartrate is an opioid analgesic, which may worsen itching. Lidocaine is a local anesthetic and does not address itching from systemic morphine. Diphenhydramine is the best choice to address the patient's itching while not interfering with the spinal anesthesia.