Which of the following drugs poses the greatest threat to an insulin-dependent diabetic who is pregnant?
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Solution
ritodrine hydrochloride
The only drug that poses a threat to diabetics who are pregnant is ritodrine.
Which drug is used to manage preterm labor by causing smooth muscle relaxation?
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Solution
ritodrine
Ritodrine is used to arrest uterine contractions in preterm labor. Oxytocin is used to stimulate labor.
Julia is a mother who is receiving oxytocin therapy. The nurse must continuously evaluate:
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Solution
Uterine contractions
A client receiving oxytocin therapy requires continuous monitoring of maternal vital signs, fluid intake and output, electronic fetal monitoring, and uterine contractions.
During labor induction with oxytocin, the nurse knows that relaxation of vascular smooth muscle can cause:
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Solution
Hypotension and flushing
Relaxation of vascular smooth muscle will cause vasodilation leading to hypotension and flushing.
Which of the following is a contraindication for use of oxytocin to induce labor?
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Solution
Placenta previa
Use of oxytocin is contraindicated in the presence of placenta previa. Labor induction in this condition could be fatal to the fetus. Placenta previa is an indication for cesarean section.
A relative contraindication to therapy with androgens is:
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Solution
Hepatic failure
Hepatic failure is considered a relative contraindication because antiandrogens have been known to cause hepatic toxicity. Choice B is incorrect because pregnancy is considered an absolute contraindication. Prostate cancer is an indication for antiandrogen administration. Hypogonadism would not be considered a contraindication, but it most certainly is not an indication for therapy.
Androgens are medically indicated in the management of all of the following except:
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Solution
Body building
Androgens can be dangerous drugs and are medically indicated only in severe conditions, such as female hirsutism or male hypogonadism, and as metabolic stimulator.
A constant dose of estrogen with varying doses of progestin are found in:
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Solution
biphasic pills
Choice A is incorrect because monophasic pills have a constant dose of estrogen and progestin throughout the month. Choice B is incorrect because Depo-Provera is a progestin product only. Choice C is incorrect because triphasic pills may have variations in estrogen as well as progestin levels.
Progestins have been known to cause which of the following:
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Solution
Decrease HDL level
Progestins decrease HDL levels, which may predispose the client to increased cardiac risk.
Estrogen is given in the management of all of the following conditions except:
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Solution
Endometrial carcinoma
Estrogen is given in the management of dysfunctional uterine bleeding, primary hypogonadism, and suppression of ovulation. Choices A, B, and C are all indicators for estrogen treatment.