N316L - OB Medications(Complete solutions)
Aqumephyton (Vitamin K) correct answersUSE: prevents hemorrhagic disease of the newborn
GIVE: *to baby* IM within 1 hour of birth, repeat dose may be needed in 6-8 hr
MOA: synthesis of prothrombin and other clotting factors
S/E: gastric upset, hyperbilirubinemia
Butorphanol (Stadol) correct answersUSE: analgesia during labor
GIVE: IV
CI: physically dependent on opioids
S/E: sedation, nausea, sweating, confusion
EDUCATE: call for assistance to prevent falls, change positions slowly
Carboprost Tromethamine (Hemabate) correct answersUSE: postpartum hemorrhage,
midtrimester abortion
GIVE: IM (<2mg for bleeding) (<12mg for abortion)
MOA: Causes uterine contractions
CI: Pelvic inflammatory disease, pulmonary/renal/hepatic disease
S/E: diarrhea, n/v, fever
EDUCATE: notify of fever, chills, foul-smelling discharge, lower abdominal pain, increased
bleeding
calcium gluconate correct answersUSE: antidote for magnesium sulfate
GIVE: IV
MOA: calcium prevents absorption of magnesium
S/E: arrhythmia, constipation, phlebitis
EDUCATE: do not consume milk products to prevent milk-alkali syndrome
, Celestone (betamethasone) correct answersUSE: prevent RDS in newborns, speeds up lung
development
CATEGORY: corticosteroid
GIVE: IM 2-3 days before delivery (NOT epidural)
MOA: suppresses inflammation, increases production of surfactant
CI: active untreated infections, TBI, epidural use
S/E: adrenal suppression, impaired healing, hypertension, nausea, depression
EDUCATE: do not stop abruptly, notify of severe abdominal pain or tarry stools
Dermoplast correct answersUSE: postpartum numbing spray for pain/itching
CATEGORY: topical anesthetic (benzocaine)
EDUCATE: do not get in eyes, notify of rash or irritation
Dinoprostone (Cervidil) correct answersUSE: labor induction, midtrimester abortion
CATEGORY: Prostaglandins
GIVE: vaginal suppository
MOA: produces contractions
CI: previous c/s, fetal distress, multiparity >6, unexplained vaginal bleeding
EDUCATE: continuous fetal monitoring, notify of fever, chills, foul discharge, lower abdominal
pain, increased bleeding
Erythromycin ophthalmic ointment correct answersUSE: prevent eye infections in newborns
(ophthalmia neonatum)
GIVE: *to baby* 1/2" ribbon to lower lid
EDUCATE: prophylaxis to prevent spread of staph bacteria from mom to baby
H-BIG Vaccine correct answersUSE: prevent transfer of Hep B from mother to baby
GIVE: IM *to baby* within 12 hours of birth
MOA: Creates passive immunity (immune globulins)
Aqumephyton (Vitamin K) correct answersUSE: prevents hemorrhagic disease of the newborn
GIVE: *to baby* IM within 1 hour of birth, repeat dose may be needed in 6-8 hr
MOA: synthesis of prothrombin and other clotting factors
S/E: gastric upset, hyperbilirubinemia
Butorphanol (Stadol) correct answersUSE: analgesia during labor
GIVE: IV
CI: physically dependent on opioids
S/E: sedation, nausea, sweating, confusion
EDUCATE: call for assistance to prevent falls, change positions slowly
Carboprost Tromethamine (Hemabate) correct answersUSE: postpartum hemorrhage,
midtrimester abortion
GIVE: IM (<2mg for bleeding) (<12mg for abortion)
MOA: Causes uterine contractions
CI: Pelvic inflammatory disease, pulmonary/renal/hepatic disease
S/E: diarrhea, n/v, fever
EDUCATE: notify of fever, chills, foul-smelling discharge, lower abdominal pain, increased
bleeding
calcium gluconate correct answersUSE: antidote for magnesium sulfate
GIVE: IV
MOA: calcium prevents absorption of magnesium
S/E: arrhythmia, constipation, phlebitis
EDUCATE: do not consume milk products to prevent milk-alkali syndrome
, Celestone (betamethasone) correct answersUSE: prevent RDS in newborns, speeds up lung
development
CATEGORY: corticosteroid
GIVE: IM 2-3 days before delivery (NOT epidural)
MOA: suppresses inflammation, increases production of surfactant
CI: active untreated infections, TBI, epidural use
S/E: adrenal suppression, impaired healing, hypertension, nausea, depression
EDUCATE: do not stop abruptly, notify of severe abdominal pain or tarry stools
Dermoplast correct answersUSE: postpartum numbing spray for pain/itching
CATEGORY: topical anesthetic (benzocaine)
EDUCATE: do not get in eyes, notify of rash or irritation
Dinoprostone (Cervidil) correct answersUSE: labor induction, midtrimester abortion
CATEGORY: Prostaglandins
GIVE: vaginal suppository
MOA: produces contractions
CI: previous c/s, fetal distress, multiparity >6, unexplained vaginal bleeding
EDUCATE: continuous fetal monitoring, notify of fever, chills, foul discharge, lower abdominal
pain, increased bleeding
Erythromycin ophthalmic ointment correct answersUSE: prevent eye infections in newborns
(ophthalmia neonatum)
GIVE: *to baby* 1/2" ribbon to lower lid
EDUCATE: prophylaxis to prevent spread of staph bacteria from mom to baby
H-BIG Vaccine correct answersUSE: prevent transfer of Hep B from mother to baby
GIVE: IM *to baby* within 12 hours of birth
MOA: Creates passive immunity (immune globulins)
