HESI Maternity and Pediatric Practice Test 2026 – Complete Exam Prep

The medication of choice for a client who wants to abort her pregnancy at three months of gestation is mifepristone. Mifepristone is an antiprogestin that works by blocking the hormone progesterone, which is essential for maintaining pregnancy. By inhibiting progesterone, mifepristone causes the lining of the uterus to break down and facilitates the detachment of the embryo, making it an effective option for medical abortion, particularly in the first trimester.

Following administration of mifepristone, it is typically followed by a second medication, misoprostol, which induces contractions to expel the contents of the uterus. This combined regimen is considered safe and effective for up to 10 weeks of gestation, with mifepristone specifically indicated for early abortion.

Nifedipine is a calcium channel blocker primarily used for treating hypertension and certain types of chest pain, and it is not indicated for abortion. Terbutaline is a bronchodilator and sometimes used in obstetric care to delay preterm labor but does not facilitate abortion. Methylergonovine is used to manage uterine atony and control postpartum hemorrhage and is not appropriate for terminating a pregnancy. Thus, mifepr