CHAPTER 38: AGENTS USED IN OBSTETRICAL CARE

CHAPTER 38: AGENTS USED IN OBSTETRICAL CARE

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse should provide self-care instructions for the client discharged on terbutaline via pump, including:

a.	the pump is programmed only to provide a basal rate of the medication.
b.	uterine contractions not controlled by two bolus doses within a four-hour period should be reported.
c.	bolus doses may be used as long as the pulse rate is more than 110 beats per minute.
d.	the medication is delivered into an intravenous access site.

 

 

ANS:  B

 

	Feedback
A	Incorrect: The pump also can be programmed for bolus dosing.
B	Correct: This is appropriate instruction.
C	Incorrect: The pulse rate should be less than 110 beats per minute.
D	Incorrect: The medication is administered subcutaneously via the pump.

 

 

PTS:   1                    REF:   p. 882            OBJ:   Cognitive Level: Comprehension

 

2. Which of the following explains why the action of oxytocin increases during the last nine weeks of pregnancy?

a.	The mechanism of action is dependent on the presence of estrogen.
b.	The mechanism of action is dependent on the presence of progestin.
c.	The mechanism of action is dependent on the size of the fetus.
d.	The mechanism of action is dependent on the size of the uterus.

 

 

ANS:  A

 

	Feedback
A	Correct: During the last trimester as estrogen levels rise, the uterine smooth muscle becomes more responsive to oxytocin.
B	Incorrect: The relationship appears to be between estrogen and oxytocin.
C	Incorrect: The relationship appears to be between estrogen and oxytocin.
D	Incorrect: The relationship appears to be between estrogen and oxytocin.

 

 

PTS:   1                    REF:   p. 875            OBJ:   Cognitive Level: Comprehension

 

3. A client scheduled for a late second trimester abortion is told of the possibility of delivering a live fetus. The client states she was unaware of this possibility and is no longer sure she wants an abortion. The best response by the nurse is:

a.	“Don’t worry, we won’t show you the fetus.”
b.	“If you wait any longer, the possibility of a live fetus increases.”
c.	“Would you like some time to think this over or discuss it with someone.”
d.	“It’s really not that common, so chances are it won’t happen to you.”

 

 

ANS:  C

 

	Feedback
A	Incorrect: This is not an appropriate nursing response to this client’s concern.
B	Incorrect: This is not an appropriate nursing response to this client’s concern.
C	Correct: This is responsive to this client’s concern and the best response by the nurse.
D	Incorrect: This is not an appropriate nursing response to this client’s concern.

 

 

PTS:   1                    REF:   p. 881            OBJ:   Cognitive Level: Application

 

4. To evaluate a client’s ability to manage a terbutaline pump, the nurse should:

a.	have the client demonstrate programming the pump.
b.	have the client verbalize selection of injection sites.
c.	have the client verbalize symptoms that need to be reported.
d.	demonstrate how the pump can administer a bolus dose.

 

 

ANS:  A

 

	Feedback
A	Correct: Demonstration of a skill is the best method of evaluation.
B	Incorrect: Although important, it is not the best method.
C	Incorrect: Although important, it is not the best method.
D	Incorrect: This is teaching, not evaluating.

 

 

PTS:   1                    REF:   p. 882            OBJ:   Cognitive Level: Evaluation

 

5. The nurse understands that Rh₀(D) immune globulin is administered:

a.	to Rh-negative mothers after delivery of an Rh-positive infant.
b.	to Rh-positive mothers after delivery of an Rh-negative infant.
c.	to Rh-positive mothers only following abortion of an Rh-negative infant.
d.	to Rh-negative mothers only following abortion of an Rh-negative infant.

 

 

ANS:  A

 

	Feedback
A	Correct: Rh-negative mothers after delivery of an Rh-positive infant should receive Rh0(D) immune globulin to prevent sensitization that could affect future pregnancies.
B	Incorrect: This mother would not receive Rh0(D) immune globulin.
C	Incorrect: This mother would not receive Rh0(D) immune globulin.
D	Incorrect: This mother would not receive Rh0(D) immune globulin.

 

 

PTS:   1                    REF:   p. 878            OBJ:   Cognitive Level: Comprehension