Chapter 53: Female Reproductive Cycle I: Pregnancy and Preterm Labor Drugs

Chapter 53: Female Reproductive Cycle I: Pregnancy and Preterm Labor Drugs

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A pregnant woman asks the nurse about whether a medication is safe to take during pregnancy. The nurse notes that the drug has a low molecular weight. Based on this drug characteristic, the nurse understands that this drug

a.	can cause greater gastrointestinal distress and hyperemesis.
b.	has reduced renal elimination resulting in toxicity.
c.	is more sensitive to metabolism by circulating maternal hormones.
d.	will be more likely to cross the placenta and affect the fetus.

 

 

ANS:  D

Low-molecular weight drugs are more likely to cross the placental barrier. This characteristic does not contribute to increased GI distress or toxicity because of reduced renal elimination. Drugs with low molecular weight are not more sensitive to metabolism by maternal hormones.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   Page 778

TOP:   NURSING PROCESS: Analysis

MSC:  NCLEX: Health Promotion and Maintenance: Antepartal Care

 

2. A woman who is 4 weeks pregnant is worried that a medication she took until 3 weeks ago may cause birth defects. The nurse will tell her that

a.	drugs taken in the first week of pregnancy can cause CNS defects.
b.	medications have increased teratogenicity during the first week of pregnancy.
c.	she should have an ultrasound immediately.
d.	teratogenic effects are rare in the first 2 weeks of pregnancy.

 

 

ANS:  D

During the first 2 weeks, the embryo is not susceptible to teratogenesis. There is no need for an ultrasound.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   Page 778

TOP:   NURSING PROCESS: Nursing Intervention: Patient Teaching

MSC:  NCLEX: Health Promotion and Maintenance: Antepartal Care

 

3. Which statement by the nurse is accurate regarding iron supplementation during pregnancy?

a.	“All women should take iron supplements throughout their pregnancy.”
b.	“Iron supplements are given to supply the fetus.”
c.	“Iron supplements usually are not necessary until the second trimester.”
d.	“The greatest iron demand is in the first trimester of pregnancy.”

 

 

ANS:  C

Iron supplements generally are not necessary until the second trimester when the fetus begins to store iron. Iron supplements are given to prevent maternal iron deficiency, not to supply the fetus. The greatest demand occurs in the third trimester.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   Page 780

TOP:   NURSING PROCESS: Nursing Intervention: Patient Teaching

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

4. A patient who has just delivered her baby asks the nurse if she needs to continue taking her iron supplement. What instruction will the nurse provide to the patient?

a.	“Continue taking iron for 6 more weeks.”
b.	“Stop taking the iron supplement now.”
c.	“Take the iron supplement while nursing.”
d.	“Take the iron only if your hemoglobin is low.”

 

 

ANS:  A

Women should continue taking an iron supplement for 6 weeks after delivery. It is not necessary to take iron for the duration of nursing.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   Page 780

TOP:   NURSING PROCESS: Nursing Intervention: Patient Teaching

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies