ATI RN
Chapter 14 Drugs for the Reproductive System Questions
Question 1 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 2 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.
Question 3 of 5
The nurse is mentoring a new graduate who is preparing to administer the phytonadione injection to a newborn. Which muscle sites selected by the new graduate would indicate the need for further teaching? (Select all that apply.)
Correct Answer: B
Rationale: The correct answer is B: Gluteus maximus. The injection site for phytonadione in newborns is the vastus lateralis muscle due to its larger muscle mass and reduced risk of nerve injury or damage. The gluteus maximus is not a recommended site as it has a higher risk of nerve injury and is not a standard injection site for newborns. Choices A, C, and D are incorrect because the anterolateral thigh, rectus femoris, and vastus lateralis are all appropriate sites for administering the phytonadione injection in newborns.
Question 4 of 5
The nurse is preparing a teaching plan for combined hormonal
Correct Answer: A
Rationale: Step 1: Including all relevant information in the teaching plan ensures comprehensive education for the patient. Step 2: By selecting all applicable information, the nurse covers a wide range of essential topics related to combined hormonal contraceptives. Step 3: This approach promotes patient understanding, adherence, and empowerment in managing their health. Summary: - Choice B: While important, this option only lists specific symptoms to report, which is not as comprehensive as including all relevant information. - Choice C: Incorrect because combined hormonal contraceptives are generally not recommended for smokers over 35 years due to increased risk of complications. - Choice D: Incorrect as combined hormonal contraceptives do not protect against sexually transmitted infections.
Question 5 of 5
The nurse is instructing a patient on the use of depot
Correct Answer: A
Rationale: The correct answer is A because it allows for multiple correct statements to be selected, which is important when educating patients about depot. Patients may experience changes in their periods, so option B is incorrect. There is no specific need to increase calcium intake related to depot use, making option C incorrect. Patients can indeed expect irregular bleeding initially, making option D incorrect. Overall, option A is the best choice as it covers the variability in potential effects of depot use on the patient.