Obstetric Nurse Pharmacology in Obstetrics Questions and Answers

Question 1

A patient is experiencing a postpartum hemorrhage that has not responded to uterine massage or an initial bolus of IV oxytocin.
The provider orders carboprost tromethamine.
The nurse should question this order if the patient has a significant history of which of the following conditions?

Accepted Answer

Asthma

Answer

Hypertension

Answer

Renal disease

Answer

Diabetes mellitus

Question 2

A nurse is managing a labor augmentation with an IV oxytocin infusion. The fetal heart rate tracing shows a Category I pattern, but the nurse notes uterine contractions are occurring every 1.5 minutes and lasting 90-100 seconds. What is the nurse's priority action?

Accepted Answer

Decrease the oxytocin infusion rate.

Answer

Administer an IV fluid bolus.

Answer

Reposition the patient to her left side.

Answer

Notify the healthcare provider immediately.

Question 3

A client at 29 weeks gestation is being treated for preterm labor. The provider orders a course of betamethasone. What is the primary therapeutic goal of administering this medication?

Accepted Answer

To accelerate fetal lung maturity

Answer

To relax the uterine muscle and stop contractions

Answer

To provide fetal neuroprotection against cerebral palsy

Answer

To prevent maternal chorioamnionitis

Question 4

Fifteen minutes after the placement of an epidural, a laboring client's blood pressure drops from 125/80 mmHg to 90/50 mmHg. The fetal heart rate tracing shows a prolonged deceleration. Which of the following interventions should the nurse perform FIRST?

Accepted Answer

Place the patient in a left lateral position and administer an IV fluid bolus.

Answer

Administer oxygen at 10 L/min via non-rebreather mask.

Answer

Increase the rate of the maintenance IV fluids.

Answer

Prepare for an emergency cesarean section.

Question 5

A provider orders an IV antihypertensive for a patient with a blood pressure of 175/118 mmHg due to preeclampsia with severe features. Which medication order should the nurse question if the patient has a history of bronchial asthma?

Accepted Answer

Labetalol

Answer

Hydralazine

Answer

Nifedipine

Answer

Methyldopa

Question 6

A client at 30 weeks gestation is admitted with preterm labor. The nurse is preparing to administer a tocolytic medication. Which of the following agents is generally avoided after 32 weeks gestation due to the risk of premature closure of the fetal ductus arteriosus?

Accepted Answer

Indomethacin

Answer

Nifedipine

Answer

Terbutaline

Answer

Magnesium Sulfate