ATI RN
Chapter 14 Drugs for the Reproductive System Questions
Question 1 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 when examining a client in preterm labor receiving magnesium sulfate due to the risk of magnesium toxicity, which can lead to respiratory depression and cardiac arrest. Loss of patellar reflexes indicates excessive magnesium levels affecting neuromuscular function. Options A and B are common side effects of magnesium sulfate administration. Option D, positive clonus, may also be seen with magnesium toxicity but is not as specific or critical as loss of patellar reflexes in this context.
Question 2 of 5
A client has an epidural for pain control during labor. During the assessment, the nurse notes a drop in the client's blood pressure. Which priority nursing intervention would the nurse do?
Correct Answer: B
Rationale: The correct answer is B: Turn her on her left side. Rationale: 1. Turning the client on her left side promotes blood flow to the placenta, increasing perfusion to the fetus. 2. This position helps alleviate hypotension by preventing compression of the vena cava. 3. It is a non-invasive and immediate intervention to address the drop in blood pressure. Summary: A: Administering low-flow oxygen is not the priority in this case as hypotension is likely due to epidural-induced vasodilation, not hypoxia. C: Assessing urinary output is important but not the immediate priority when addressing a drop in blood pressure. D: Monitoring vaginal bleeding is not relevant to the drop in blood pressure related to epidural administration.
Question 3 of 5
It is mandatory to have maternal signed consent before administering which newborn drug?
Correct Answer: C
Rationale: Step 1: Maternal consent is required for Hepatitis B vaccine series as it involves administering a vaccine to the newborn, which may have potential risks. Step 2: The Hepatitis B vaccine series is given as a preventive measure against Hepatitis B infection. Step 3: Maternal consent ensures that the mother is informed about the benefits and risks of the vaccine for her newborn. Step 4: Without maternal consent, healthcare providers cannot administer the Hepatitis B vaccine series to the newborn. Summary: Choice A (Erythromycin eye ointment) is typically administered routinely without requiring maternal consent. Choice B (Phytonadione) is a vitamin supplement given to newborns to prevent bleeding disorders, usually without the need for maternal consent. Choice D (Betamethasone injection) is a medication given to pregnant women to help fetal lung development and does not require maternal consent for administration to the newborn.
Question 4 of 5
The nurse is instructing a patient on the use of depot medroxyprogesterone acetate. Which statements are correct? (Select one that doesn't apply.)
Correct Answer: A
Rationale: Correct Answer: A Rationale: Depot medroxyprogesterone acetate is a progestin-only contraceptive that commonly causes changes in menstrual patterns. By inhibiting ovulation, it can lead to irregular bleeding, amenorrhea, or spotting. Patients should be informed about these potential changes. Increasing calcium intake is not specifically related to this medication. While patients can experience irregular bleeding initially, it is not accurate to say they do not have any changes in their periods. Depot medroxyprogesterone acetate is safe to use while breastfeeding, as it does not affect milk production or quality.
Question 5 of 5
A married man with two daughters is taking finasteride to treat benign prostatic hyperplasia. Which nursing assessment data are most critical in developing a care plan? (Select one that doesn't apply.)
Correct Answer: D
Rationale: Step 1: Identify the key information - married man with daughters taking finasteride. Step 2: Understand finasteride - primarily used for BPH but can also promote hair growth. Step 3: Critical assessment - hair growth is not a priority for BPH treatment. Step 4: Focus on patient's well-being - libido, urinary retention, and dosing are more relevant. Step 5: Final assessment - D is incorrect as hair growth is not a priority concern.