A
A nurse is administering oxytocin (Pitocin) to a laboring patient for induction of labor. Which of the following is a priority assessment?
B. Fetal heart rate
Which medication is administered to newborns immediately after birth to prevent bleeding due to insufficient clotting factors?
B. Vitamin K injection
A nurse is caring for a patient receiving magnesium sulfate for severe preeclampsia. Which of the following side effects should the nurse monitor for?
B. Hyporeflexia
A nurse is performing a postpartum assessment of a newborn. Which of the following is an expected finding for a newborn's respiratory rate?
C. 30 to 60 breaths per minute
A nurse is administering dinoprostone (Cervidil) to a patient for cervical ripening. Which of the following is the most important nursing assessment after administration?
A. Fetal heart rate
A nurse is administering magnesium sulfate to a patient with preeclampsia during labor. Which of the following findings would require the nurse to immediately stop the infusion?
B. Respiratory rate of 10 breaths per minute
A nurse is administering terbutaline to a patient experiencing preterm labor. Which side effect should the nurse monitor for?
B. Hyperglycemia
During a newborn assessment, the nurse notes that the baby’s skin is slightly bluish on the hands and feet but pink on the body. What is the nurse's appropriate action?
C. Document the finding as acrocyanosis and continue to monitor
A patient receiving oxytocin (Pitocin) for labor augmentation begins to complain of severe abdominal pain with contractions every 45 seconds. The fetal heart rate is 90 beats per minute. What is the nurse’s priority action?
C. Discontinue the oxytocin infusion and reposition the patient
A newborn is receiving the hepatitis B vaccine. What should the nurse inform the parents regarding this vaccine?
B. It requires multiple doses, including one given at birth, to ensure full protection.
A newborn is scheduled to receive erythromycin ophthalmic ointment. The nurse explains to the parents that the purpose of this medication is to:
B. Prevent gonorrheal and chlamydial eye infections
A nurse is assessing a newborn’s reflexes. Which of the following reflexes would the nurse expect to see when touching the corner of the newborn’s mouth?
B. Rooting reflex
A nurse is preparing to administer methylergonovine (Methergine) to a patient with postpartum hemorrhage. The nurse notes the patient has a blood pressure of 160/95 mmHg. What is the nurse’s priority action?
B. Hold the medication and notify the provider
A nurse is administering Vitamin K to a newborn. What is the correct route for administration of this medication?
C. Intramuscular
When assessing a newborn’s umbilical cord after delivery, which of the following findings would the nurse expect to document?
A. Two arteries and one vein
The nurse is preparing to administer methylergonovine (Methergine) to a postpartum patient. Which of the following assessments is most important prior to administration?
A. Maternal blood pressure
A patient in labor is receiving an epidural for pain relief. Which of the following assessments is a priority for the nurse to monitor during the administration?
C. Maternal blood pressure
A patient who is 35 weeks pregnant is prescribed betamethasone. What is the purpose of this medication?
C. To enhance fetal lung maturity
A nurse is providing education to a patient about fentanyl use during labor. Which of the following is a potential side effect of fentanyl that the nurse should explain?
B. Respiratory depression
A nurse is preparing to administer naloxone (Narcan) to a newborn. What is the most likely reason for this medication?
A. The newborn was exposed to opioids in utero, causing respiratory depression
A nurse is assessing a newborn’s fontanels during a postpartum check. The anterior fontanel feels soft and flat. What should the nurse do next?
A. Document this as a normal finding
A nurse is administering oxytocin (Pitocin) to augment labor. The patient begins having contractions every 1 minute lasting 90 seconds. What is the nurse’s priority action?
C. Discontinue the oxytocin infusion
A newborn is scheduled to receive the hepatitis B immune globulin (HBIG). The nurse explains to the parents that the purpose of this medication is to:
C. Provide immediate protection against hepatitis B in babies born to infected mothers
A nurse is administering carboprost tromethamine (Hemabate) to a postpartum patient for uncontrolled bleeding. What is a common side effect of this medication?
A. Diarrhea
A laboring patient has been administered fentanyl intravenously for pain relief. Which side effect is the most important for the nurse to monitor for?
C. Respiratory depression