Chapter 55: Postpartum and Newborn Drugs

Chapter 55: Postpartum and Newborn Drugs

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse is caring for a postpartum woman who has chosen not to breastfeed her infant. She asks why she cannot use drugs to suppress lactation. Which response by the nurse is correct?

a.	“Hormonal drugs are not as effective as complementary therapies.”
b.	“Hormonal drugs cause increased constipation.”
c.	“Hormonal drugs increase the risk of blood clots.”
d.	“Hormonal drugs promote uterine atony.”

 

 

ANS:  C

Estrogenic drug therapy is less common than in the past because of the increased risk of thrombophlebitis. They are more effective than complementary drugs. They do not increase constipation or promote uterine atony.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   Page 838

TOP:   NURSING PROCESS: Nursing Intervention: Patient Teaching

MSC:  NCLEX: Health Promotion and Maintenance: Postpartal Care

 

2. The nurse provides teaching for a postpartal woman who will take bisacodyl tablets to help with constipation. What information will the nurse include when teaching this patient about this medication?

a.	“Crush the tablet if it is difficult to swallow.”
b.	“Store this medication in a cool, dry place.”
c.	“Take the tablet with a carbonated beverage.”
d.	“Take with milk if gastrointestinal upset occurs.”

 

 

ANS:  B

Bisacodyl tablets should be stored in a cool, dry place. They should not be crushed. It is not necessary to give with a carbonated beverage. Bisacodyl tablets should not be taken within 1 to 2 hours of milk or antacid.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   Page 832

TOP:   NURSING PROCESS: Nursing Intervention: Patient Teaching

MSC:  NCLEX: Health Promotion and Maintenance: Postpartal Care

 

3. When teaching a postpartal patient about the use of mineral oil as a laxative, the nurse will explain that mineral oil

a.	does not have serious side effects.
b.	is safe to take with other laxatives.
c.	may be taken with food.
d.	should be mixed with juice or soda.

 

 

ANS:  D

Mineral oil should be given with fruit juice or soda to disguise the taste. It can be aspirated, causing aspiration pneumonia—a serious side effect. It should not be taken with food and should not be taken with other laxatives.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   Page 832

TOP:   NURSING PROCESS: Nursing Intervention: Patient Teaching

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

4. The nurse is caring for a postpartal patient who has just delivered her first baby by caesarean section. The mother’s blood type is Rh-negative, and the infant’s blood type is Rh-positive. The provider has ordered human D immune globulin (RhoGAM). The nurse understands that this patient will need

a.	less than the usual RhoGAM dose.
b.	more than the usual RhoGAM dose.
c.	no RhoGAM.
d.	the usual RhoGAM dose.

 

 

ANS:  B

For women with abruption, previa, caesarean births, or manual placental removal, more than 15 mL of fetal-maternal hemorrhage of Rh-positive red blood cells may have occurred, necessitating an increased dose of D immune globulin.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   Page 835

TOP:   NURSING PROCESS: Nursing Intervention

MSC:   NCLEX: Health Promotion and Maintenance: Immunizations