Pharm EAQ|301 Final Exam Quiz Questions Well And Correctly Answered|88 Pages
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Pharm EAQ
A 16-year-old primipara presents to the labor unit at term. The mother has not had any prenatal care. The nurse obtains orders for a complete prenatal panel, which includes a blood type and screen and a Coombs test. The tests indicate that the patient has AB-negative blood and a negative Coombs tes...
A 16-year-old primipara presents to the labor unit at term. The mother has not had any prenatal care.
The nurse obtains orders for a complete prenatal panel, which includes a blood type and screen and a
Coombs test. The tests indicate that the patient has AB-negative blood and a negative Coombs test
result. What should the nurse do?
A. Request an order for Rho(D) IG administration before delivery because the patient did not get a dose
at 28 weeks' gestation.
B. Wait until after delivery to determine whether the newborn's blood type warrants Rho(D) IG
administration to the patient.
C. Understand that Rho(D) IG is not necessary after the birth of a patient's first child.
D. Understand that Rho(D) IG is not necessary because the patient is already sensitized. - ✔ ✔ Wait
until after delivery to determine whether the newborn's blood type warrants Rho(D) IG administration
to the patient.
A 2-day-old newborn begins bleeding profusely from the umbilical cord site. The nurse applies pressure
to the site and, upon reviewing the newborn's record, learns that the newborn did not receive vitamin K
at birth because the mother refused. Which risk factor associated with classic-onset VKDB might the
nurse find in this newborn's record?
A. Accidental double dosing of vitamin K
B. Ingestion of an adequate amount of commercial formula but no breast milk
C. Nutrition obtained via breastfeeding
D. Intrauterine growth restriction - ✔ ✔ Nutrition obtained via breastfeeding
A 37-year-old multipara at 38 weeks' gestation is admitted to the labor unit for induction of labor
because of preeclampsia. The practitioner orders a 4 gm loading dose of magnesium sulfate and then 2
gm/hr. Before implementing this order, the nurse also must obtain an order for what?
A. Indwelling urinary catheter
,B. Pain medication
C. Antiemetic medication
D. Mainline IV fluid and infusion rate - ✔ ✔ Mainline IV fluid and infusion rate
A 40-year-old multipara presents to the antepartum unit for amniocentesis at 18 weeks' gestation. The
patient has A-negative blood and a negative response to the Coombs test. Which treatment should the
nurse anticipate?
A. Defer Rho(D) IG administration because the patient does not currently have an indication for it.
B. Defer Rho(D) IG administration because the patient is Rh negative but already is sensitized to the Rh
factor.
C. Defer Rho(D) IG administration because the patient is Rh negative but not yet at 28 weeks' gestation.
D. Administer Rho(D) IG because the patient is Rh negative, is not sensitized to the Rh factor, and will
undergo an invasive procedure that may cause fetal blood to cross into maternal blood. - ✔ ✔
Administer Rho(D) IG because the patient is Rh negative, is not sensitized to the Rh factor, and will
undergo an invasive procedure that may cause fetal blood to cross into maternal blood.
A breastfeeding newborn shows signs of late-onset VKDB. Which bleeding site is at high risk in newborns
with this condition?
A. Rectum
B. Nasal passages
C. Gums
D. Cranium - ✔ ✔ Cranium
A calcium channel blocker has been ordered for a patient. Which condition in the patient's history is
contraindicated with this medication?
A female patient is prescribed bromocriptine therapy. Which endocrine disorder will the nurse most
likely observe written in the chart?
a. Endometriosis
b. Hyperprolactinemia
c. Premature ovulation
d. Polycystic ovary syndrome - ✔ ✔ Hyperprolactinemia
A healthy newborn is born at 39 weeks' gestation. The nurse notices bleeding from the umbilical cord
site. When would the nurse expect to see signs of early VKDB?
A. Within the first 24 hours
B. After the first 24 hours
C. Within the first 48 hours
D. After the first 48 hours - ✔ ✔ Within the first 24 hours
A laboring patient at 39 weeks' gestation just received an epidural bolus for breakthrough pain, and the
bolus resulted in severe hypotension. The patient received ephedrine 5 minutes ago. When the nurse
completes an initial assessment, the patient's blood pressure is 120/72 mm Hg, and the FHR is Category
I (normal). The patient is reporting heart palpitations, dizziness, and nausea. How should the nurse
respond?
A. Continue to monitor the patient closely and explain that these symptoms are possible adverse
reactions to ephedrine.
B. Notify the practitioner that the patient may be having an allergic reaction to the medication.
C. Reassure the patient that the symptoms are from the epidural bolus.
D. Explain that the patient is just experiencing a normal progression of labor symptoms. - ✔ ✔
Continue to monitor the patient closely and explain that these symptoms are possible adverse
reactions to ephedrine.
, A laboring patient with preeclampsia has a BP of 198/112 mm Hg. The practitioner orders 10 mg of oral
nifedipine. About 25 minutes after administering the nifedipine, the nurse observes that the patient's BP
is 112/58 mm Hg and that the FHR has absent variability and a new onset of late decelerations. What is
the most likely cause of the change in the FHR pattern?
A. Imminent delivery
B. Decreased uteroplacental perfusion
C. Severe preeclampsia
D. Contracted intravascular volume - ✔ ✔ Decreased uteroplacental perfusion
A laboring patient with severe preeclampsia has a BP of 198/112 mm Hg and is receiving IV magnesium
sulfate and oxytocin. The practitioner orders 40 mg of labetalol to be administered intravenously. The
nurse administers the medication as ordered. Ten minutes later, the nurse obtains a BP reading of
120/72 mm Hg and observes that the FHR pattern now has no variability and a new onset of late
decelerations. What does the nurse know is the most likely cause of the change in FHR pattern?
A. Severe preeclampsia
B. Imminent delivery
C. Decreased uteroplacental perfusion
D. Decreased intravascular volume - ✔ ✔ Decreased uteroplacental perfusion
A mother has tested positive for HBsAg. Which action should the nurse take regarding
immunoprophylaxis of this mother's newborn?
A. Administer the hepatitis B vaccine and HBIG 12 hours apart.
B. Remove maternal blood from the newborn's injection sites before giving the injections.
C. Give the newborn only the hepatitis B vaccine; HBIG is not needed when the mother is HBsAg
positive.
D. Give the hepatitis B vaccine within 12 hours but wait to see if the newborn has hepatitis B before
giving the HBIG. - ✔ ✔ Remove maternal blood from the newborn's injection sites before giving the
injections.
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