Obstetric Pharmacology Quiz

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Questions and Answers

What is a possible sign of Concealed Hemorrhage?

  • Hard and boardlike uterus (correct)
  • Sharp, stabbing pain in the uterine fundus
  • Bloody amniotic fluid
  • Cool, moist skin

Which assessment finding is indicative of Complete Separation with Apparent Hemorrhage?

  • Signs and symptoms of shock
  • Sharp, stabbing pain high in the uterine fundus
  • Heavy bleeding (correct)
  • Bloody amniotic fluid

What is a possible symptom of DIC (Disseminated Intravascular Coagulation)?

  • Fever and chills
  • Vaginal spotting
  • Decreased appetite
  • Excessive blood loss from lack of fibrinogen (correct)

How should labor be managed if there are attempts to stop it due to preterm labor risks?

<p>Keep the woman well hydrated (B)</p> Signup and view all the answers

What is the method of choice for termination of pregnancy in cases of Abruptio Placenta?

<p>Cesarean birth (C)</p> Signup and view all the answers

Which action is recommended to assess for interference with blood coagulation in a suspected case of DIC?

<p>Keep blood sample untouched for 10 minutes (C)</p> Signup and view all the answers

What is the indication for administering Betamethasone to a pregnant client?

<p>To hasten fetal lung maturity (B)</p> Signup and view all the answers

Which medication is considered the drug of choice as a tocolytic agent?

<p>Magnesium Sulfate (D)</p> Signup and view all the answers

What is the purpose of conducting a 'Count to 10' test during tocolytic therapy?

<p>To assess fetal movement (D)</p> Signup and view all the answers

Which condition is associated with preterm rupture of membranes before 37 weeks of gestation?

<p>Chorioamnionitis (C)</p> Signup and view all the answers

What intervention is advised for a very immature fetus in a labor that cannot be halted?

<p>Perform a cesarean section (C)</p> Signup and view all the answers

Which medication is considered an antidote for magnesium sulfate toxicity?

<p>Calcium Gluconate (A)</p> Signup and view all the answers

What is the management approach for monitoring HCG levels after surgery?

<p>Monitoring for 1 year (B)</p> Signup and view all the answers

Which of the following assessment findings indicate premature cervical dilatation?

<p>Rupture of membranes and discharge of amniotic fluid (B)</p> Signup and view all the answers

What is the purpose of a prophylactic course of METHOTREXATE in the context provided?

<p>To prevent pregnancy during follow-up (A)</p> Signup and view all the answers

What is the surgical management approach for premature cervical dilatation or 'Incompetent Cervix'?

<p>Cervical Cerclage (A)</p> Signup and view all the answers

Which nursing intervention is crucial post-operatively for a client who underwent Cervical Cerclage?

<p>Checking for rupture of membranes and uterine contractions (B)</p> Signup and view all the answers

What are the risk factors associated with premature cervical dilatation?

<p>Increased maternal age and trauma to the cervix (C)</p> Signup and view all the answers

What is the blood pressure threshold for a diagnosis of mild preeclampsia?

<p>140/90 mmHg (B)</p> Signup and view all the answers

Which symptom is a sign of severe preeclampsia?

<p>Blurred vision and headache (D)</p> Signup and view all the answers

What is a key assessment for eclampsia?

<p>Seizure or coma with other signs of preeclampsia (B)</p> Signup and view all the answers

What should be monitored in clients with mild preeclampsia?

<p>Neurological status (C)</p> Signup and view all the answers

Which complication is associated with severe preeclampsia?

<p>Renal Failure (A)</p> Signup and view all the answers

What is a key nursing intervention for clients with mild preeclampsia?

<p>Promote bed rest in lateral recumbent position (B)</p> Signup and view all the answers

What is the nursing priority during the TONIC-CLONIC PHASE of a seizure in a client with severe preeclampsia?

<p>Maintain a patent airway and ensure safety (B)</p> Signup and view all the answers

What medication is commonly administered to prevent Eclampsia in clients with severe preeclampsia?

<p>Magnesium Sulfate (B)</p> Signup and view all the answers

What is the recommended diet for clients with severe preeclampsia?

<p>Moderate to high in protein and low in sodium (C)</p> Signup and view all the answers

What happens during the POSTICTAL PHASE of a seizure in a client with severe preeclampsia?

<p>Client is in semicomatose state and cannot be aroused except by painful stimuli for 1 to 4 hours (C)</p> Signup and view all the answers

What is the primary nursing intervention for a client experiencing STAGES TONIC-CLONIC SEIZURES?

<p>Maintain a patent airway and ensure safety (D)</p> Signup and view all the answers

Why is it important to monitor fetal well-being in clients with severe preeclampsia?

<p>To detect early signs of eclampsia in the fetus (C)</p> Signup and view all the answers

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