Maternal Newborn Nursing Test Pharmacology in Maternal-Newborn Nursing 3

Question 1

A patient is breastfeeding and needs analgesia for postpartum pain. Which analgesic is considered safest for the breastfeeding dyad?

Accepted Answer

Ibuprofen 600 mg every 6 hours as needed

Answer

Aspirin 650 mg every 4 hours

Answer

Oxycodone 5 mg every 4 hours as needed

Answer

Naproxen 500 mg twice daily

Question 2

A patient with preeclampsia with severe features delivers at 34 weeks. Magnesium sulfate is continued postpartum. For how long is magnesium typically continued after delivery for seizure prophylaxis?

Accepted Answer

24–48 hours postpartum

Answer

6–8 hours postpartum

Answer

12 hours postpartum

Answer

72 hours postpartum

Question 3

A newborn requires vitamin K administration. The parents refuse intramuscular injection and ask about oral alternatives. What should the nurse explain about oral vitamin K?

Accepted Answer

Oral vitamin K requires multiple doses and provides less reliable protection against late hemorrhagic disease

Answer

Oral vitamin K provides equivalent protection to IM administration

Answer

There is no oral alternative available

Answer

Oral vitamin K is only indicated for preterm infants

Question 4

A patient requires induction of labor with a cervical ripening agent. Misoprostol (Cytotec) 25 mcg is placed vaginally. Which finding requires the nurse to withhold the next dose?

Accepted Answer

Contractions every 2 minutes lasting 90 seconds with incomplete uterine relaxation

Answer

Contractions every 8 minutes lasting 30 seconds

Answer

Baseline fetal heart rate of 145 bpm with moderate variability

Answer

Cervical dilation of 2 cm from 1 cm

Question 5

Indomethacin is prescribed as a tocolytic for a patient at 28 weeks in preterm labor. Which fetal effect must the nurse be aware of with prolonged use?

Accepted Answer

Premature closure of the ductus arteriosus

Answer

Fetal macrosomia due to altered insulin secretion

Answer

Fetal anemia due to suppressed erythropoiesis

Answer

Accelerated fetal bone development

Question 6

A patient is to receive dinoprostone (Cervidil) cervical ripening insert. How long should the insert remain in place if no adverse reactions occur?

Accepted Answer

12 hours or until active labor begins

Answer

2–4 hours or until active labor begins

Answer

6–8 hours or until active labor begins

Answer

Up to 24 hours or until active labor begins