NCLEX: Maternity Pharmacology fully solved 2024

NCLEX: Maternity PharmacologyBetamethasone/dexamethasone - correct answer increases the production of surfactant in the lungs - given between 28- 32 weeks - ideally, delay birth for 48 hours Prostaglandins - correct answer used to ripen the cervix and stimulate uterine contractions - pt should void before giving - remain in side-lying position 1-2 hr after Prostaglandins: select medications - correct answer - Misoprostol - dinoprostone Prostaglandins: complication - correct answer uterine tachysystole (>12 contractions/20min) oxytocin - correct answer used for inductions of labor and to control bleeding after delivery of the placenta - infusion may be titrated to get 3-5 contractions/6-10 min period = cervical dilation - side-lying to enhance blood flow to the placenta and reduce pressure of the cervix - monitor contractions, FHT, lung sounds, BP q15min oxytocin: when to discontinue - correct answer - if contractions are < 2 min apart - if contractions are longer than 90 sec - if there are signs of fetal distress or late decelerations