NARM Pharmacology and Medications 3

Question 1

A client at 41 weeks requires cervical ripening. Misoprostol (Cytotec) 25 mcg is placed vaginally. How frequently can doses be repeated if needed?

Accepted Answer

Every 3–4 hours

Answer

Every 1 hour

Answer

Every 6 hours

Answer

Every 12 hours

Question 2

Which finding indicates magnesium toxicity requiring immediate intervention?

Accepted Answer

Absent deep tendon reflexes

Answer

Urinary output of 35 mL/hour

Answer

Respiratory rate of 14 breaths/minute

Answer

Serum magnesium level of 5 mEq/L

Question 3

A newborn is born to a mother who received meperidine (Demerol) 2 hours before delivery. The neonate shows respiratory depression. What medication should be administered?

Accepted Answer

Naloxone 0.1 mg/kg IM or IV

Answer

Flumazenil 0.01 mg/kg IV

Answer

Epinephrine 0.1 mL/kg IV

Answer

Atropine 0.02 mg/kg IV

Question 4

Which herbal supplement is CONTRAINDICATED in pregnancy due to its uterotonic properties?

Accepted Answer

Blue cohosh (Caulophyllum thalictroides)

Answer

Ginger (Zingiber officinale) in food amounts

Answer

Red raspberry leaf tea

Answer

Chamomile tea

Question 5

A client has a penicillin allergy documented as 'anaphylaxis.' Which antibiotic should be used for GBS prophylaxis after confirming susceptibility?

Accepted Answer

Clindamycin 900 mg IV q8h

Answer

Amoxicillin 500 mg PO q8h

Answer

Cefazolin 2 g IV then 1 g q8h

Answer

Vancomycin 20 mg/kg IV q8h

Question 6

Rho(D) immune globulin (RhoGAM) is administered at 28 weeks to an Rh-negative client. When must it be administered again postpartum?

Accepted Answer

Only if the baby is Rh-positive, within 72 hours of birth

Answer

Regardless of infant blood type, within 24 hours

Answer

Only if the baby is Rh-negative, within 72 hours

Answer

At 6 weeks postpartum regardless of infant blood type

Question 7

Which statement about oxytocin's pharmacokinetics during labor augmentation is accurate?

Accepted Answer

Oxytocin has a half-life of approximately 3–5 minutes

Answer

Steady-state plasma levels are achieved within 5 minutes of starting infusion

Answer

Dose increments should occur every 15–30 minutes to allow for steady state

Answer

Oxytocin crosses the placenta and directly stimulates fetal myometrium