Contraceptives
Levonorgestrel (Plan B) should be taken when?
A. Within 72 hours before intercourse
B. Within 24 hours after intercourse
C. Within 48 hours before intercourse
D. Within 72 hours after intercourse
D. Within 72 hours after intercourse
What drug is in the tocolytic class?
A. Carboprost Tromethamine
B. Terbutaline Sulfate
C. Methylergonovine
D. Betamethasone
B. Terbutaline Sulfate
Which is a first line uterotonic used for postpartum hemorrhage?
A. Terbutaline
B. Magnesium Sulfate
C. Carboprost tromethamine
D. Oxytocin
D. Oxytocin
What medication is in the glucocorticoid class?
A. Oxytocin
B. Estradiol
C. Levonorgestrel
D. Betamethasone
D. Betamethasone
Which of these medications contain estrogen?
A. Estradiol
B. Eliquis
C. Escitalopram
D. Enalapril
A. Estradiol
What is not a contraindication to taking oral contraceptives?
A. History of stroke
B. History of DVT
C. History of dysmenorrhea
D. History of Coronary artery disease
C. History of dysmenorrhea
A pregnant patient is experiencing uterine tachystole. Which class of drug will the nurse administer?
A. Tocolytic
B. Uterine stimulant
C. Glucocorticoid
D. Progestin
A. Tocolytic
Misoprostol can be given orally, vaginally and what other route?
Rectally
Betamethasone is administered to the mother in an effort to prepare what for delivery?
A. The placenta
B. The uterus
C. The fetus
D. The umbilical cord
C. The fetus
Clomiphene can increase the chances of _______ to occur?
A. Shrinking of the ovaries
B. Pregnancy with multiples
C. Sterility
D. Fetal deformities
B. Pregnancy with multiples
Which is not a common side effect of oral contraceptives?
A. Shortness of breath
B. Headache
C. Weight gain
D. Nausea
A. Shortness of breath
Terbutaline sulfate works by which of the following?
A. Stimulating smooth muscle contraction
B. Promoting surfactant production in the fetus
C. Relaxing uterine smooth muscle
D. Inducing cervical ripening
C. Relaxing uterine smooth muscle
Prolonged use of oxytocin can cause what serious adverse effect?
A. Water intoxication
B. High APGAR scores
C. Umbilical cord prolapse
D. Placenta accreta
A. Water intoxication
What expected adverse effect can glucocorticoids cause in a mother with diabetes?
A. Hypoglycemia
B. Hyperglycemia
C. Thrombocytopenia
D. Anemia
B. Hyperglycemia
Clomiphene can cause what adverse effect when taken by male patients?
A. Gynecomastia
B. Galactosemia
C. Phenylketonuria
D. Hyperbilirubinemia
A. Gynecomastia
What should a patient be taught about oral contraceptives? SATA
A. They protect against STI's
B. They should be taken as instructed
C. Improper use can increase chances of pregnancy
D. Backup methods will never be necessary while taking
B. They should be taken as instructed
C. Improper use can increase chances of pregnancy
Magnesium sulfate is used for what pregnancy complications? SATA
A. Placental abruption
B. Preeclampsia
C. Pregnancy induced hypertension
D. Preterm labor
B. Preeclampsia
D. Preterm labor
Misoprostol can cause what symptoms in a patient? SATA
A. Nausea, Vomiting, Diarrhea
B. Fever and chills
C. Constipation
D. Increased clotting times
A. Nausea, Vomiting, Diarrhea
B. Fever and Chills
Glucocorticoids can help prevent what life threatening complication in a preterm infant?
A. Hypoglycemia
B. Anemia
C. Necrotizing enterocolitis
D. Sepsis
C. Necrotizing enterocolitis
A patient taking hormone replacement therapy reports chest pain and shortness of breath. What is suspected?
A. GERD
B. Anxiety
C. Broken rib
D. Pulmonary embolism
D. Pulmonary embolism
What are two routes contraceptives are prescribed other than oral?
Intramuscular
Intrauterine
Vaginal
Transdermal
Intradermal
Which adverse effect pf terbutaline sulfate should be reported to the provider?
A. Maternal heart rate of 140
B. Patient complains of feelings of nervousness
C. Tremors of the hands
D. Patient complaint of "feeling flushed"
A. Maternal hear rate of 140
Some uterotonics have contraindications to administration. Which statement is inaccurate?
A. Carboprost should not be used in patients with Hx of asthma
B. Misoprostol should not be used immediately after the end of the third stage of labor
C. Oxytocin infusion should be stopped with category 3 fetal strip
D. Methylergonovine should be avoided in hypertensive patients
B. Misoprostol should not be used immediately after the end of the third stage of labor
Betamethasone is given at what gestation based on standard practice?
A. 24-36 weeks
B. 20-40 weeks
C. Only after 36 weeks
D. Anytime during pregnancy
A. 24-36 weeks
What are some contraindications to hormone replacement therapy with estrogen? SATA
A. Osteoporosis
B. Smoking
C. Liver disease
D. Diagnosed abnormal uterine bleeding
B. Smoking
C. Liver disease