Role of midwife in the administration of drugs during pregnancy, labour and post partum period, drugs used in obstetrics, teratogens | Mock Test | Staff Nurse | Guides Academy
Time: 15:00
What is the midwife's most critical responsibility before administering any drug to a pregnant woman?
[a] To ensure the medication is the least expensive option available.
[b] To administer the medication as quickly as possible.
[c] To understand the drug's safety profile and potential risks versus benefits for both mother and fetus.
[d] To document the administration before giving the drug.
A teratogen is best defined as any agent that can:
[a] Stop premature labour.
[b] Induce labour at term.
[c] Only cause harm during the fetal period.
[d] Cause a birth defect or congenital anomaly.
The most critical period for teratogenic exposure, when major organ systems are forming, is the:
[a] Preconception period.
[b] Fetal period (week 9 to birth).
[c] Embryonic period (week 3 to week 8).
[d] Postpartum period.
A midwife is administering an intravenous infusion of oxytocin (Pitocin) to a woman in labour. The primary purpose of this medication in this context is to:
[a] Relieve labour pain.
[b] Mature the fetal lungs.
[c] Augment or induce uterine contractions.
[d] Prevent postpartum haemorrhage.
What is the priority nursing assessment for a patient receiving magnesium sulfate for preeclampsia?
[a] Monitoring for an increase in uterine contractions.
[b] Assessing respiratory rate, deep tendon reflexes, and urinary output.
[c] Checking the patient's blood glucose level.
[d] Observing for signs of vaginal bleeding.
The midwife should be aware that which of the following antihypertensive drugs is a known teratogen and is contraindicated in pregnancy?
[a] Labetalol.
[b] Nifedipine.
[c] Lisinopril (an ACE inhibitor).
[d] Methyldopa.
The primary purpose of administering a corticosteroid like betamethasone to a mother in preterm labour is to:
[a] Stop uterine contractions.
[b] Prevent infection in the mother.
[c] Reduce the mother's anxiety.
[d] Stimulate fetal lung maturity and surfactant production.
The midwife is preparing to administer methylergonovine (Methergine) for a postpartum haemorrhage. This medication is contraindicated in a patient with a history of:
[a] Asthma.
[b] Hypertension.
[c] Diabetes.
[d] Anemia.
A key role of the midwife when a new medication is prescribed for a postpartum patient is to:
[a] Decide on the dosage of the medication.
[b] Choose which medication should be prescribed.
[c] Educate the patient on the medication's purpose, dosage, and side effects.
[d] Administer the medication without explaining it to the patient.
What is the primary rationale for administering Vitamin K to a newborn?
[a] To prevent neonatal sepsis.
[b] To treat physiological jaundice.
[c] To prevent hypoglycemia.
[d] To prevent vitamin K deficiency bleeding (hemorrhagic disease).
A woman in preterm labour is receiving terbutaline, a tocolytic agent. The midwife should monitor the mother closely for which common side effect?
[a] Bradycardia.
[b] Tachycardia and palpitations.
[c] Hypotension.
[d] Hypoglycemia.
A midwife administers erythromycin ophthalmic ointment to a newborn's eyes shortly after birth to:
[a] Prevent blocked tear ducts.
[b] Treat congenital cataracts.
[c] Provide prophylaxis against ophthalmia neonatorum.
[d] Improve the infant's visual acuity.
Prostaglandins, such as misoprostol (Cytotec) or dinoprostone (Cervidil), are used in obstetrics primarily for:
[a] Fetal pain relief.
[b] Stopping postpartum contractions.
[c] Treating maternal hypertension.
[d] Cervical ripening and inducing labour.
The antidote that should be readily available at the bedside for a patient receiving magnesium sulfate is:
[a] Naloxone.
[b] Protamine sulfate.
[c] Calcium gluconate.
[d] Vitamin K.
Which of the following is a well-known non-pharmacological teratogen that can cause Fetal Alcohol Syndrome?
[a] Caffeine.
[b] Alcohol.
[c] Aspartame.
[d] Acetaminophen.
The "five rights" of medication administration are a fundamental part of the midwife's role. They include the Right Patient, Right Drug, Right Dose, Right Route, and:
[a] Right Reason.
[b] Right Documentation.
[c] Right Price.
[d] Right Time.
A midwife administers Rho(D) immune globulin (RhoGAM) to an Rh-negative mother in the postpartum period to:
[a] Treat the newborn for jaundice.
[b] Prevent the mother from developing antibodies that could affect future pregnancies.
[c] Boost the mother's immune system.
[d] Prevent postpartum haemorrhage.
The TORCH acronym is used to identify a group of teratogenic infections. The "T" and "R" stand for:
[a] Tetanus and Rotavirus.
[b] Tuberculosis and RSV.
[c] Toxoplasmosis and Rubella.
[d] Tdap and Rubeola.
A midwife should know that carboprost (Hemabate), used for postpartum haemorrhage, is contraindicated in patients with a history of:
[a] Diabetes.
[b] Asthma.
[c] Hypertension.
[d] Migraines.
Before assisting with the administration of an epidural, the midwife's role includes ensuring:
[a] The patient has been NPO for at least 8 hours.
[b] A platelet count is available and an IV fluid bolus has been administered.
[c] The patient has signed a consent for a caesarean section.
[d] A dose of oxytocin is ready to be given.
Administering a non-particulate antacid (e.g., sodium citrate) before a caesarean section is done to:
[a] Prevent postpartum bleeding.
[b] Provide pain relief.
[c] Reduce the risk of aspiration pneumonitis.
[d] Decrease anxiety.
What is the priority assessment for a newborn whose mother received opioid analgesia (e.g., pethidine) close to the time of delivery?
[a] Monitoring for hypoglycemia.
[b] Assessing for signs of jaundice.
[c] Monitoring for respiratory depression.
[d] Checking for hyperthermia.
Low-dose aspirin is sometimes prescribed during high-risk pregnancies to help prevent:
[a] Gestational diabetes.
[b] Preterm labour.
[c] Preeclampsia.
[d] Postpartum haemorrhage.
Which medication is a hormone that prepares the endometrium for pregnancy and helps maintain the pregnancy?
[a] Oxytocin.
[b] Progesterone.
[c] Estrogen.
[d] Prolactin.
A midwife is preparing to give a Hepatitis B vaccine to a newborn. This falls under the role of drug administration during which period?
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