Pharmacology Maternity HESI Final (Evolve) Practice Test

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• What is the typical goal of prenatal care regarding substance use?
• What is a common side effect of opioid analgesics used during labor?
• Which type of imaging is avoided during pregnancy due to potential risks?
• What is the commonly used medication for the treatment of postpartum hemorrhage?
• Which medication is typically prescribed for a woman at 29 weeks of pregnancy experiencing uterine contractions?
• What is a common side effect of using oxytocin for labor induction?
• For which condition is Rho(D) immune globulin primarily indicated?
• Which medication is indicated for perinatal depression postpartum?
• What is the potential fetal risk associated with using topiramate during pregnancy?
• When are oral contraceptives contraindicated after pregnancy?
• What is a common side effect of metoclopramide used in pregnancy?
• A woman experiencing irregular menses and weight gain with low estrogen and progesterone levels wants to conceive. Which medication may be prescribed?
• Why is monitoring fetal heart rate important during labor with maternal opioid use?
• Which drug is associated with an increased risk of vaginal cancer in offspring?
• An ultrasound of a 7-month-pregnant client shows fetal death. Which medication is appropriate for evacuation of the uterus?
• Which steroid is often prescribed for fetal lung development in preterm labor?
• At what gestational week should Rho(D) immune globulin be administered to a Rh negative pregnant client suspected of sensitization?
• What consideration should be taken when prescribing anticoagulants to a pregnant woman?
• What is a significant risk when magnesium sulfate is administered during labor?
• What common side effect of estrogen in oral contraceptives should patients be educated about?
• What baseline assessment is essential before initiating an intravenous magnesium sulfate infusion?
• Which drug should be avoided for prescription in a lactating mother with heart problems?
• Which adverse effects should the nurse monitor for in a patient who has just received epidural anesthesia?
• What is a common side effect of magnesium sulfate administration during labor?
• What is the function of beta-mimetics in maternity care?
• A pregnant client with iron-deficiency anemia is prescribed iron supplements. To enhance absorption, she should consume foods high in which vitamin?
• Which oral antihyperglycemic medication may be prescribed for gestational diabetes?
• What is a common side effect of opioid analgesics used during labor?
• Which medication is commonly used to manage nausea during pregnancy?
• Which of the following conditions requires correction regarding the effects of teratogens?
• Which medication may be prescribed to treat hyperemesis gravidarum?
• In which clinical situation would cervical ripening drugs be indicated?
• Which form of medication administration is considered safer during pregnancy?
• Which maternal condition might lead to the need for discontinuation of salicylate therapy during pregnancy?
• A nurse is reviewing a postmenopausal client's history, which reveals that the client previously received hormonal therapy (HT) as treatment for osteoporosis. The nurse recognizes that HT increases the risk of which condition?
• What role does iron supplementation play during pregnancy?
• Which type of analgesia and anesthesia did the anesthesiologist recommend for an obese client in early labor?
• What is a recognized toxic effect of doxorubicin in breast cancer treatment?
• What major adverse effect should the nurse monitor for after administering an epidural block?
• Topiramate is associated with which FDA Pregnancy Risk category?
• In a pregnant woman diagnosed with epilepsy, what physiologic change in drug metabolism is expected with antiepileptic drug treatment?
• Which laboratory test should be closely monitored in a pregnant patient receiving anticoagulant therapy?
• A client on estrogen therapy who smokes is at increased risk of developing which condition?
• What is the recommended action if a pregnant patient exhibits signs of magnesium sulfate toxicity?
• What medication should be administered to promote labor in a client whose cervix is not dilated?
• Which is a common side effect of epidural anesthesia during labor?
• Which medication is typically used to assist with uterine contractions during labor?
• What should the nurse do first for a pregnant woman found to have increased amniotic fluid and elevated blood pressure?
• Which drug is used to counteract drug toxicity caused by magnesium sulfate during preterm labor management?
• What adverse reaction should a nurse monitor for in a client receiving prolonged oxytocin infusion?
• A client taking oral contraceptives for several years expresses the desire to postpone children. What finding indicates a potential risk with continued use?
• Which oral medication should the nurse anticipate being prescribed for a pregnant client with a trichomonal infection?
• A pregnant woman in active labor is feeling lightheaded and nauseated after receiving epidural anesthesia. What should the nurse do first?
• Which drug classification is most appropriate for the management of hypertensive disorders in pregnancy?
• A pregnant woman with low estrogen levels is treated with hormonal therapy. What teratogenic effect is likely to occur in the newborn?
• When treating a patient with gestational hypertension, which medication is commonly prescribed to manage blood pressure?
• Which tocolytic agent can be safely used without combining with others?
• What impact does the use of antihypertensive drugs have on maternal-fetal outcomes?
• What is the main reason magnesium sulfate is administered to a pregnant client with severe preeclampsia?
• What is the primary purpose of tocolytics in maternity pharmacology?
• When monitoring a client for magnesium sulfate toxicity, which parameter is most important to assess?
• Which drug should be excluded from the prescription for a client undergoing treatment for infertility?
• What risk is associated with the use of aspirin during pregnancy?
• What is a potential serious adverse effect of misoprostol when used for abortion?
• What is a priority nursing action after administering Rho(D) immune globulin?
• Which type of medication is typically prescribed to manage preterm labor?
• Which supplement is commonly recommended during pregnancy to prevent neural tube defects?
• What is an important nursing intervention for a patient receiving epidural analgesia?
• For a client prescribed 500 mg of cephalexin every 6 hours for 10 days, how many days will 24 tablets of 250 mg each last?
• What effect does administering antihypertensives have in managing mild preeclampsia?
• What is the therapeutic effect of administering progesterone during pregnancy?
• What medication is used off-label to prevent preterm birth?
• What is the primary action of tocolytics in maternity care?
• What is the primary benefit of administering a surfactant to a preterm infant?
• During pregnancy, which medication has potential adverse effects on fetal development?
• Which medication is used for the management of chronic hypertension in pregnancy?
• What is the essential monitoring for a pregnant client receiving antiepileptic drugs?
• What is the primary monitoring goal during labor for a patient on opioids?
• Which medication can be prescribed to prevent premature labor?
• What medication might be prescribed to a client experiencing infertility?
• What is the function of Rho(D) immune globulin during pregnancy?
• Which pharmacologic intervention is likely to be beneficial for a client with hypertension experiencing labor pains before 35 weeks of gestation?
• A client with severe preeclampsia is receiving magnesium sulfate therapy. What is the priority nursing assessment as the nurse monitors this client's response to therapy?
• What effect does betamethasone have on fetal development when administered to pregnant women?
• What is a common side effect of the drug dinoprostone used for labor induction?
• What is the role of loperamide in maternal pharmacology?
• What is the purpose of administering prenatal vitamins during pregnancy?
• A client with a history of which medical condition is likely to have given birth to a baby with renal failure due to teratogenic effects of medications?
• Which medication is contraindicated in pregnancy due to its teratogenic effects?
• A nurse discusses the type of anesthesia that will be used for a vaginal birth with a client who has class I cardiac disease. Which type of block is most appropriate for this client?
• What is a common side effect of prolonged use of oxytocin during labor?
• What is the primary therapeutic use of Clonidine in pregnancy?
• What should a nurse monitor when a patient is receiving magnesium sulfate for preeclampsia?
• Which medication is least likely to be prescribed for a client with severe hypotension managing preterm labor?
• Why is erythromycin ophthalmic ointment routinely administered shortly after birth?
• Which medication is used as an antiemetic during morning sickness?
• Which analgesic is generally avoided in late pregnancy due to potential risks to the fetus?
• After 5 hours of labor, what is the priority nursing intervention for a primigravida receiving oxytocin?
• What is a key reason for monitoring blood glucose levels in pregnant women with diabetes?
• What type of drug is terbutaline commonly classified as?
• When caring for a client on intravenous magnesium sulfate for preeclampsia, which urinary output necessitates notifying the healthcare provider?
• What is a key consideration for nurses monitoring patients on magnesium sulfate?
• What factor should the nurse first assess for a client experiencing breakthrough bleeding while on oral contraceptives for 3 months?
• What assessment finding should the nurse anticipate for a patient receiving magnesium sulfate during labor?
• Which lab value should a nurse monitor in a client receiving magnesium sulfate treatment?
• Which condition may contribute to complications in a pregnancy related to the use of Asprin?
• A client with gonorrhea at 33 weeks' gestation is prescribed dual therapy. Why is this necessary?
• What is one of the main reasons for using corticosteroids in preterm labor?
• A woman treated for infertility gives birth to triplets and experienced breast pain during treatment. Which drug is likely to have been administered?
• Which of the following is a risk associated with the use of isotretinoin in women of childbearing age?
• If a preterm infant receiving an intravenous electrolyte solution infuses 40 mL in place of the prescribed 20 mL/hr, what should the nurse's first intervention be?
• A pregnant client is exposed to a teratogen during the tenth week of gestation. Which nursing intervention is appropriate?
• Which medication is known to act as an antinausea agent in early pregnancy?
• What vital sign should be closely monitored when a patient is on oxytocin?
• Which medication is administered during preterm labor that requires calcium gluconate to counter its effects?
• During which gestational period is the administration of corticosteroids appropriate for preterm labor?
• What are the primary concerns with using nonsteroidal anti-inflammatory drugs (NSAIDs) in late pregnancy?
• Which medication is recommended to prevent transmission of HIV from mother to child during pregnancy?
• Which condition should be assessed in a client before initiating therapy with uterine stimulants to augment labor?
• What is the primary reason for dietary modifications in patients with gestational diabetes?
• Which of the following is a key consideration for a nurse caring for a pregnant client with asthma?
• What is the recommended monitoring for a patient receiving tocolytics?
• During labor a client who has been receiving epidural anesthesia has a sudden episode of severe nausea, and her skin becomes pale and clammy. What is the nurse's immediate reaction?
• What medication should be administered to a pregnant woman diagnosed with hypertension and at risk of preterm labor?
• What medication may be prescribed for a 30-week-pregnant woman suspected of having preterm labor?
• What condition is likely to occur in the newborn of a woman with chronic asthma who discontinues her medication during pregnancy?
• What drug could have been administered during gestation that resulted in a baby being born with shortened limbs?
• What class of drugs might be prescribed to a client at 31 weeks' gestation admitted in preterm labor?
• How can glucocorticoids benefit a pregnant woman with autoimmune disorders?
• A lactating woman has developed thromboembolism. Which drug should be prescribed if she wishes to continue breast-feeding?
• Which medication is known to positively impact fetal growth in hypertensive mothers?
• The nurse informs a client of the risk of multiple pregnancies after reviewing her prescription. Which medication might have been prescribed?
• What is the nursing action after a Rh negative client expels total products of conception at 12 weeks' gestation and is confirmed not sensitized?
• Oral contraceptives are prescribed for a client who smokes heavily. What side effect should the nurse warn the client might occur?
• How does the use of tetracycline during pregnancy affect the fetus?
• Which drug, when administered alongside fertility medications, impairs fertility?
• What is the potential risk of using SSRIs during pregnancy?
• What is the recommended treatment priority for gestational diabetes?
• What should the nurse explain to a client with gestational diabetes regarding insulin needs during the second trimester?
• At what rate, in drops per minute, should the nurse regulate the IV after delivery of the 500-mL bolus for a client with stage 4 ovarian cancer?
• What is the objective of using opioid pain relief during labor?
• What should a nurse always assess before administering a medication to a pregnant woman?
• Which drug may cause tooth and bone anomalies as a teratogenic effect?
• Which monitoring is essential for pregnant women taking phenytoin?
• In magnesium sulfate therapy for preeclampsia, which symptom indicates a potential toxicity risk?
• Why might a nurse administer betamethasone to a mother in preterm labor?
• What drug is used to induce labor in women with post-term pregnancies?
• What is an important nursing intervention when a client is receiving intravenous magnesium sulfate for preeclampsia?
• Which class of medications is commonly used to manage hypertension during pregnancy?
• A client with SLE at 39 weeks of gestation may need to discontinue which therapy?
• Which type of hormones are commonly monitored in pregnant women?
• Which type of drugs readily crosses the placenta?
• Which drug is available in an injectable form used to augment labor?
• How does the use of certain medications during pregnancy affect fetal heart development?
• Which fertility drug regimen may be prescribed to a woman diagnosed with primary ovarian failure?
• Which statement about transdermal estradiol is true?
• What is the primary action of magnesium sulfate in pregnant patients?
• What medication is appropriate for a lactating woman diagnosed with migraine headaches who wishes to continue breastfeeding?
• A woman experiencing weight gain and hot flashes with low estrogen levels may be prescribed which medication to alleviate her symptoms?
• Which vitamin is crucial for preventing neural tube defects during pregnancy?
• What should the nurse do after administering nalbuphine to a primigravida in active labor and noting stable fetal heart rate variability?
• Which drug treatment during pregnancy is associated with a condition of underdeveloped proximal tubules in a newborn?
• What is the proper dosage of hepatitis B immune globulin (HBIG) for an infant born to a hepatitis B-positive mother?
• What liquid should a postpartum client drink with iron supplementation that indicates understanding of the instruction?
• What is the drug of choice for labor induction in a pregnant woman diagnosed with intrauterine fetal death?
• What is the main objective when using anticoagulation therapy in pregnant women?
• In which situation is Rhogam (Rh immune globulin) administered?
• What is a major risk associated with an overdose of magnesium sulfate?
• What is the significance of administering Folic Acid during pregnancy?
• What is a potential effect of magnesium sulfate that a nurse should monitor for in a client receiving this medication?
• A nurse is administering magnesium sulfate to a patient with severe preeclampsia. What is the classification of this medication?
• Which vaccine is contraindicated during pregnancy?
• What blood type must a pregnant woman have to receive Rho(D) immune globulin after delivery?
• What is the primary purpose of administering magnesium sulfate to a client with preeclampsia?
• Which nursing intervention is important for managing a baby born to an alcoholic mother with alcohol dependency?
• Which medication can be prescribed for pain relief during labor?
• What drug class does nifedipine belong to, which can be used as a tocolytic agent?
• What is the preferred drink that enhances iron absorption for postpartum clients taking iron supplements?
• Which class of medications can be used to manage gestational diabetes?
• What is the focus of drug therapy for women with polycystic ovary syndrome?
• What is a risk associated with the use of testosterone in women?
• The newborn of a lactating woman on fluoxetine developed CNS effects. What is the drug-induced alteration responsible for this?
• What is a common side effect associated with the use of antiepileptic medications in pregnant women?
• A baby was born with a single-lobed brain and also had neural tube defects. Which drug treatment in the client during her gestation might have caused this condition?
• What is the recommended treatment for iron-deficiency anemia in pregnant women?
• What consideration should be prioritized when administering terbutaline to a laboring mother?
• A nurse assesses a client in the labor room and finds that the client's Bishop score for her cervical status is 6. Which medication may be administered to this client?
• In assessing a client with a history of spontaneous abortions, which factor is crucial to evaluate?
• Which class of medications is often used for treating preeclampsia besides magnesium sulfate?
• Why is vitamin K administered to newborns?
• A nurse is caring for a client in labor whose cervix is dilated 6 cm. The client is receiving epidural analgesia. What common response to regional anesthesia does the nurse anticipate?
• Which medication should a nurse be cautious about administering during labor due to potential fetal side effects?
• What adverse effect should the nurse inform a client about when prescribing an oral contraceptive?
• What medication comes under the category of long-acting reversible contraception?
• What adverse effect might a woman experience after receiving oxytocin to induce labor?
• Which nutritional supplement is commonly recommended for pregnant women to prevent neural tube defects?
• What class of medication is commonly used for symptomatic treatment of mild preeclampsia?
• Which maternal condition is most commonly treated with insulin during pregnancy?
• How should the nurse respond to a pregnant client advised to take an over-the-counter category B medication for flu?
• A pregnant client with asthma states, "I can use my albuterol inhaler if it's absolutely necessary." What does this indicate?