ATI RN
Chapter 14 Drugs for the Reproductive System Questions
Question 1 of 5
The father of a 4-month-old infant calls in to the clinic reporting that his child is having a reaction to immunizations. What is the most important piece of information the nurse should elicit?
Correct Answer: C
Rationale: The correct answer is C because knowing the signs and symptoms the infant is experiencing will help the nurse assess the severity of the reaction and determine the appropriate course of action. This information is crucial for timely and effective intervention. A: While knowing the time the immunization was received is important, it is not as critical as understanding the current signs and symptoms the infant is experiencing. B: Whether the father has given the infant any acetaminophen is relevant but does not provide direct information on the infant's reaction to immunizations. D: The sites used to administer the immunizations are important for evaluating potential local reactions, but assessing the overall signs and symptoms takes precedence for determining the appropriate response.
Question 2 of 5
A patient in her first trimester of pregnancy calls the nurse to ask for suggestions on decreasing nausea in the morning when she awakens. Which nonpharmacologic measures would the nurse be aware of to decrease nausea and vomiting? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Eating dry toast before rising. Dry toast can help absorb stomach acid and provide a bland source of nutrition, reducing nausea. Other choices are incorrect because eating high-fat foods (D) can worsen nausea, eating a high-protein bedtime snack (C) may not address morning nausea, and while eating small frequent meals (B) can help, it is not specific to morning nausea upon waking.
Question 3 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 4 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 5 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.