Question 1

The nurse provides teaching for a postpartal woman who will take bisacodyl tablets to help with constipation.What information will the nurse include when teaching this patient about this medication?

Accepted Answer

A)  "Crush the tablet if it is difficult to swallow."
B)  "Store this medication in a cool,dry place."
C)  "Take the tablet with a carbonated beverage."
D)  "Take with milk if gastrointestinal upset occurs." B

Question 2

The nurse is caring for a postpartum woman who has chosen not to breastfeed her infant.She asks why she cannot use drugs to suppress lactation.Which response by the nurse is correct?

Accepted Answer

A)  "Hormonal drugs are not as effective as complementary therapies."
B)  "Hormonal drugs cause increased constipation."
C)  "Hormonal drugs increase the risk of blood clots."
D)  "Hormonal drugs promote uterine atony." C

Question 3

When teaching a postpartal patient about the use of mineral oil as a laxative,the nurse will explain that mineral oil

Accepted Answer

A)  does not have serious side effects.
B)  is safe to take with other laxatives.
C)  may be taken with food.
D)  should be mixed with juice or soda. D

Question 4

The nurse is instructing a nursing student who will administer erythromycin ophthalmic ointment and phytonadione (vitamin K)injection to a newborn infant.The nurse will instruct the student to perform which action?

Accepted Answer

A)  Administer the ointment after giving the injection.
B)  Apply a 1-cm ribbon of ointment to the infant's eyes.
C)  Apply the ointment along the lower border of the upper eyelids.
D)  Warm the ointment in a warmer before applying.

Question 5

The nurse is caring for a newborn infant whose mother is HBsAg-negative.The nurse expects to give the infant

Accepted Answer

A)  hepatitis B immune globulin.
B)  hepatitis B immune globulin and hepatitis B vaccine 12 hours later.
C)  no vaccine.
D)  recombinant hepatitis B vaccine.

Question 6

The nurse is caring for a postpartal woman and reviews the following lab results in her medical record: HBsAg-negative,rubella titer less than 1:8/1:10,Rh-negative with Rh-positive infant.Which injections will the nurse expect to be ordered?

Accepted Answer

A)  Hepatitis B immune globulin and MMR today
B)  MMR and Rho(
D)   immune globulin (RhoGAM)  today
C)  Rho(
D)   immune globulin (RhoGAM)  and hepatitis B immune globulin today
D)  Rho(
D)   immune globulin (RhoGAM)  today and MMR in 3 months

Question 7

A woman who has just delivered her infant observes the nurse administering ophthalmic ointment into her infant's eyes,and she asks why this is being done.The nurse will explain that this ointment is given for which purpose?

Accepted Answer

A)  To prevent chemical conjunctivitis
B)  To prevent infection
C)  To provide moisture
D)  To treat infection

Question 8

The nurse has just administered Rh?(D)immune globulin (RhoGAM)to a postpartal woman.What information will the nurse include when teaching this patient?

Accepted Answer

A)  "Avoid live vaccines for 3 months."
B)  "There are no adverse reactions to this injection."
C)  "The immune globulin does not cross into breast milk."
D)  "You will not need to have the injection with future deliveries."

Question 9

A woman who is 2 months pregnant tells the nurse that she has never received the MMR vaccine and has not had these diseases.She has a 3-year-old and a 5-year-old child who have not been immunized.The nurse will counsel the patient to perform which action?

Accepted Answer

A)  Delay obtaining the vaccines for her children and herself until after her baby is born.
B)  Have her children vaccinated now and obtain the vaccine for herself after the baby is born.
C)  Obtain the MMR vaccine for her children and herself when she is in her third trimester of pregnancy.
D)  Obtain the MMR vaccine for her children and herself within the next few weeks.

Question 10

The nurse tells a postpartal woman that her baby will need hepatitis B vaccine.The mother says she does not want her baby to have a shot and refuses to sign the consent.The nurse will

Accepted Answer

A)  administer the vaccine without consent.
B)  note the refusal in the mother's and baby's chart.
C)  tell her she will harm her baby if she does not consent.
D)  tell the mother that it is required by law.

Question 11

The nurse is caring for a postpartal patient who has just delivered her first baby by caesarean section.The mother's blood type is Rh-negative,and the infant's blood type is Rh-positive.The provider has ordered human D immune globulin (RhoGAM).The nurse understands that this patient will need

Accepted Answer

A)  less than the usual RhoGAM dose.
B)  more than the usual RhoGAM dose.
C)  no RhoGAM.
D)  the usual RhoGAM dose.

Exam 55: Postpartum and Newborn Drugs