Sample Questions and Answers
- Which of the following drugs is commonly used to induce labor?
Oxytocin
b. Magnesium sulfate
c. Betamethasone
d. Nifedipine
Answer: a. Oxytocin - What is the primary use of magnesium sulfate in obstetrics?
To control postpartum bleeding
b. To prevent seizures in preeclampsia
c. To accelerate fetal lung maturity
d. To induce labor
Answer: b. To prevent seizures in preeclampsia - Which drug is given to promote fetal lung maturity in preterm labor?
Terbutaline
b. Betamethasone
c. Misoprostol
d. Methylergonovine
Answer: b. Betamethasone - Which of the following drugs is contraindicated in pregnancy due to teratogenic effects?
Warfarin
b. Heparin
c. Insulin
d. Labetalol
Answer: a. Warfarin - What is the recommended first-line antihypertensive medication for preeclampsia?
Nifedipine
b. Labetalol
c. Methyldopa
d. Hydralazine
Answer: b. Labetalol
Medications for Labor and Delivery
- Which drug is used to stop preterm labor?
Oxytocin
b. Terbutaline
c. Misoprostol
d. Carboprost
Answer: b. Terbutaline - Misoprostol is primarily used in obstetrics for which purpose?
To prevent postpartum hemorrhage
b. To ripen the cervix
c. To treat preeclampsia
d. To delay labor
Answer: b. To ripen the cervix - Carboprost is contraindicated in patients with which condition?
Asthma
b. Diabetes
c. Hypertension
d. Epilepsy
Answer: a. Asthma - Which medication is used to control postpartum hemorrhage?
Magnesium sulfate
b. Methylergonovine
c. Terbutaline
d. Rho(D) immune globulin
Answer: b. Methylergonovine - What is the primary purpose of Rho(D) immune globulin (RhoGAM)?
To treat anemia during pregnancy
b. To prevent Rh isoimmunization
c. To promote fetal lung development
d. To manage gestational diabetes
Answer: b. To prevent Rh isoimmunization
Postpartum and Neonatal Medications
- Which medication is often used for pain management after a cesarean delivery?
Ibuprofen
b. Fentanyl
c. Acetaminophen
d. Morphine
Answer: d. Morphine - What is the purpose of administering vitamin K to newborns?
To prevent jaundice
b. To prevent bleeding disorders
c. To promote weight gain
d. To boost the immune system
Answer: b. To prevent bleeding disorders - Which medication is applied to a newborn’s eyes to prevent gonococcal ophthalmia?
Gentamicin
b. Erythromycin
c. Ciprofloxacin
d. Azithromycin
Answer: b. Erythromycin - Which drug is used to prevent postpartum uterine atony?
Methylergonovine
b. Magnesium sulfate
c. Indomethacin
d. Nifedipine
Answer: a. Methylergonovine - For which condition is indomethacin used in preterm labor?
To treat gestational hypertension
b. To close a patent ductus arteriosus
c. To delay labor
d. To treat chorioamnionitis
Answer: c. To delay labor
Side Effects and Contraindications
- Which adverse effect is most associated with oxytocin?
Respiratory depression
b. Tachysystole
c. Hypoglycemia
d. Hypercalcemia
Answer: b. Tachysystole - Magnesium sulfate toxicity may cause which symptom?
Increased reflexes
b. Respiratory depression
c. Hypertension
d. Uterine contractions
Answer: b. Respiratory depression - What is a common side effect of terbutaline?
Bradycardia
b. Hyperglycemia
c. Seizures
d. Drowsiness
Answer: b. Hyperglycemia - A woman taking methylergonovine should be monitored for which side effect?
Hypotension
b. Hypertension
c. Bradycardia
d. Edema
Answer: b. Hypertension - What is the primary adverse effect of betamethasone in the mother?
Hyperglycemia
b. Hypotension
c. Diarrhea
d. Tachycardia
Answer: a. Hyperglycemia
Special Scenarios
- Which medication is used to treat chorioamnionitis?
Ampicillin
b. Magnesium sulfate
c. Methylergonovine
d. Rho(D) immune globulin
Answer: a. Ampicillin - What is the role of nifedipine in preterm labor?
To lower maternal blood pressure
b. To relax the uterus
c. To increase uterine contractions
d. To promote fetal lung maturity
Answer: b. To relax the uterus - Which drug is used for pain relief during labor through an epidural?
Fentanyl
b. Lidocaine
c. Morphine
d. Ropivacaine
Answer: d. Ropivacaine - Which medication is given to women with a history of preterm birth to prevent recurrence?
Progesterone
b. Oxytocin
c. Indomethacin
d. Methylergonovine
Answer: a. Progesterone - Which antibiotic is used to treat group B streptococcus (GBS) during labor?
Azithromycin
b. Penicillin G
c. Ceftriaxone
d. Doxycycline
Answer: b. Penicillin G
Critical Thinking Questions
- A woman at 32 weeks gestation is receiving magnesium sulfate for preeclampsia. What is the nurse’s priority assessment?
Blood pressure
b. Respiratory rate
c. Deep tendon reflexes
d. Fetal heart rate
Answer: b. Respiratory rate - Which medication is used to reverse the effects of opioid-induced respiratory depression in a neonate?
Naloxone
b. Epinephrine
c. Flumazenil
d. Rho(D) immune globulin
Answer: a. Naloxone - Why is folic acid supplementation recommended during pregnancy?
To prevent preterm labor
b. To prevent neural tube defects
c. To improve fetal lung maturity
d. To control gestational hypertension
Answer: b. To prevent neural tube defects - A patient receiving betamethasone asks why it is necessary. What is the nurse’s best response?
“It reduces your risk of infection during labor.”
b. “It accelerates your baby’s lung development.”
c. “It lowers your blood pressure during labor.”
d. “It prevents preterm contractions.”
Answer: b. “It accelerates your baby’s lung development.” - What is the therapeutic range for magnesium sulfate in preeclampsia management?
1-3 mg/dL
b. 4-7 mg/dL
c. 8-10 mg/dL
d. 11-15 mg/dL
Answer: b. 4-7 mg/dL
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