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HESI maternal Questions & 100% Correct Answers- Latest Test | Graded A+ | Passed

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Which medication would the nurse identify as a potential cause for the formation of abnormally small eyes in the newborn if used during pregnancy? a. estrogens b. nitrofurantoin c. methotrexate d. valproic acid ֎ -:- b. nitrofurantoin Nitrofurantoin, an antimicrobial medication, causes for...

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  • August 27, 2024
  • 42
  • 2024/2025
  • Exam (elaborations)
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HESI maternal Questions & 100% Correct
Answers- Latest Test | Graded A+ | Passed
Which medication would the nurse identify as a potential cause for the formation of

abnormally small eyes in the newborn if used during pregnancy?


a. estrogens


b. nitrofurantoin


c. methotrexate


d. valproic acid


֎ -:- b. nitrofurantoin




Nitrofurantoin, an antimicrobial medication, causes formation of abnormally small eyes in

the newborn. Sex hormone supplements, such as estrogens, may cause congenital defects

of female reproductive organs. Methotrexate can cause congenital abnormalities (central

nervous system and limbs malformations) and fetal death. Valproic acid is high teratogenic

and cause neural tube defects, atrial septal defect, cleft palate, hypospadias, polydactyly,

and craniosynostosis.




The nurse understands which antihypertensive medication is contraindicated in lactating

women?


a. atenolol


b. labetalol



26/08/2024 | © Copyright- This work may not be copied for profit.

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c. metoprolol


d. propranolol


֎ -:- a. atenolol




Atenolol is contraindicated in lactating women because it enters the breastmilk and may

cause adverse effects to the neonate. Labetalol and propanolol are safe to administer

during lactation. Metoprolol is considered a safe medication to be taken during lactation




Which hormone levels do not require monitoring during the ministration of menotropins for

infertility?


a. estrogen


b. luteinizing hormone


c. follicle-stimulating hormone


d. gonadotropin-releasing hormone


֎ -:- d. gonadotropin-releasing hormone




Menotropins that are administered for infertility act at the pituitary level. Gonadotropin-

releasing hormones act at the hypothalamus level; therefore this hormone does not need

to be monitored. Menotropins is a standardized mixture of follicle-stimulating hormone

and luteinizing; these hormones should be monitored. Also, estrogen levels need to be

monitored because the luteinizing hormone directly stimulates the production of estrogen


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Which birth control agent requires administration once every three months?


A. Progestin-only pills


B. Intramuscular progestin


C. Combination biphasic forms


D. Combination monophasic forms


֎ -:- b. intramuscular progestin




Intramuscular progestin requires the administration of a single injection every three

months. Progressed-only oral contraceptive pills should be taken on a daily basis because

of a higher incidence of ovulatory cycles. Combination biphasic and monophasic forms are

administered as either a 21 or 28 day course.




Which medication with the nurse identify as being used both for cervical ripening during

labor and has a stomach protectant?


a. raloxifene


b. clomiphene


c. misoprostol


d. dinoprostone




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, Excellence is key | 2024/2025 ~Page |4


֎ -:- c. misoprostol




Misoprostol can be used for cervical ripening and as a stomach protectant. Raloxifene is

used to prevent postmenopausal osteoporosis. Clomiphene is used for ovulation.

Dinoprostone can be used for cervical ripening, but this medication does not act as a

stomach protectant.




Which effect with the nurse identify as seen when the fetus is exposed to a teratogen

during embryonic period?


a. delay in growth


b. gross malformations


c. death of the conceptus


d. disruption of brain development


֎ -:- b. gross malformations




Gross malformations occur if there is exposure to a teratogen during the embryonic period

or the first trimester. During the fetal period, exposure to a teratogen causes delays in

growth and development of the fetus. Death of the conceptus occurs if exposed to a lethal

dose of teratogen during the pre-implantation period. Exposure to a teratogen during the

fetal period (second or third trimester) causes disruption of brain development.




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