OB clinical Meds(with Errorless answers)
Magnesium Sulfate (Generic) correct answersCLASSIFICATION: Neuromuscular blockers: ^
effect. CONTRAINDICATION: hypersensitivity, abdominal pain, nausea/vomiting, obstruction,
acute surgical abdomen, rectal bleeding, heart block, myocardial damage. USES: anticonvulsant
in preeclampsia, eclampsia. ROUTE: almost always IV. DOSAGE/FREQUENCY: 4-6g, infused
over 15-30 mins; followed by a maintenance dose of Mag. Sul. that is diluted in an IV solution.
& admin by an infusion pump at 2g/hr. ONSET: unknown. PEAK: unknown. DURATION: 1/2
hr. SIDE EFFECTS: muscle weakness, flushing, sweating, confusion, sedation, depressed
reflexes, flaccid, paralysis, hypothermia, nausea, vomiting, anorexia, cramps. NURSING
IMPLICATION: assess Mag. toxicity: thirst, confusion, decrease in reflexes. Eclampsia: seizure
precautions, BP & ECG.
Erythromycin Ophthalmic Ointment correct answersGeneric: Erythromycin CLASSIFICATION:
Macrolide. CONTRAINDICATION: hypersensitivity, minor ocular irritation. ACTION: are both
bacteriostatic and bactericidal. provide prophylaxis against ophthalmia neonatorum. ROUTE:
Topical DOSAGE/FREQUENCY: Apply a 1- to 2-cm ribbon of ointment to the lower
conjunctival sac of each eye; can also be used in drop form. ONSET: PEAK: DURATION: SIDE
EFFECTS: chemical conjunctivitis that lasts 24 to 48 hours; vision can be blurred temporarily
NURSING IMPLICATION: Administer within 1 to 2 hours of birth. Wear gloves. Cleanse the
eyes if necessary before administration. Open the eyes by putting a thumb and finger at the
corner of each lid and gently pressing on the periorbital ridges. Squeeze the tube and spread the
ointment from the inner canthus of the eye to the outer canthus. Do not touch the tube to the eye.
After 1 minute, excess ointment may be wiped off. Observe eyes for irritation. Explain the
treatment to the parents.
Ibuprofen (Generic) correct answersTRADE NAME: Advil, Motrin, Caldolor, ElixSure IB, IBU,
Ibren, Midol, Wal-Profen. CLASSIFICATION: (NSAID) Non-steroidal anti-inflammatory
drugs. CONTRAINDICATION: Avoid in 3rd trimester of pregnancy. hypersensitivity to this
product, NSAIDs, salicylates, asthma, severe renal/hepatic disease. ACTION: analgesic, anti-
inflammatory ROUTE: PO or IV. DOSAGE/FREQUENCY: minor pain: 200mg q4-6hr, max
1200mg/day; Moderate-Severe (Caldolor) IV: 400-800mg q6hr; Analgesia: PO: 200-400mg q4-
6hr. 3.2g/day; OTC 1200mg/day; Dysmenorrhea: PO 400mg q4hr; max 1200mg/day. Anti-
inflammatory: PO 400-800mg tie-aid; 3.2mg/day, kid: 30-40mg/kg/day in 3-4 divided doses max
50mg/kg/day. ONSET: 1/2hr PEAK: 1-2hr DURATION: 4-6hr SIDE EFFECTS: headache,
nausea, anorexia, MI, Stroke, ulceration, GI perforation, nephrotoxicity. NURSING
IMPLICATION: assess for infection, pain, nephrotoxicity, allergic reactions, cardiac status,
I&O, identify fever.
Duramorph (Trade) correct answersTRADE NAME/GENERIC NAME: CLASSIFICATION:
analgesic CONTRAINDICATION: ACTION: ROUTE: DOSAGE/FREQUENCY: ONSET:
PEAK: DURATION: SIDE EFFECTS: NURSING IMPLICATION:
Nubain (Trade) correct answersGENERIC: Nalbuphine hydrochloride CLASSIFICATION:
Opioid Agonsit-Antagonist Analgesic CONTRAINDICATION: Hypersensitivity, addiction
(opioid) ACTION: stimulates kappa opioid receptors and blocks or weakly stimulates mu opioid
, receptors, resulting in good analgesia but with less respiratory depression and nausea and
vomiting. ROUTE/DOSAGE/FREQUENCY: IV 10mg q3hr, IM 10mg q3hr ONSET: IV- Rapid;
IM- up to 15 mins PEAK: IV- 1/2 hr, IM- 1hr DURATION: IV=2-4hrs, IM=4-6hrs SIDE
EFFECTS: Sedation, drowsiness, nausea, vomiting, dizziness, respiratory depression, temporary
absent or minimal FHR variability. NURSING IMPLICATION: May precipitate withdrawal
symptoms in opioid-dependent women & their newborns. Assess maternal vital signs, degree of
pain, FHR, & uterine activity before & after administration. Observe for maternal respiratory
depression, notifying primary health care provider if maternal respirations are ≤12 breaths/min.
Encourage voiding every 2 hours, & palpate for bladder distention. If birth occurs within 1 to 4
hours of dose administration, observe newborn for respiratory depression. Implement safety
measures as appropriate, including use of siderails & assistance with ambulation. Continue use
of nonpharmacologic pain relief measures.
Rhogam correct answersTRADE/GENERIC: CLASSIFICATION: CONTRAINDICATION:
ACTION: ROUTE: DOSAGE/FREQUENCY: ONSET: PEAK: DURATION: SIDE EFFECTS:
NURSING IMPLICATION
Narcan correct answersTRADE/GENERIC: CLASSIFICATION: CONTRAINDICATION:
ACTION: ROUTE: DOSAGE/FREQUENCY: ONSET: PEAK: DURATION: SIDE EFFECTS:
NURSING IMPLICATION:
Triple Antibiotic Ointment correct answersTRADE/GENERIC: CLASSIFICATION:
CONTRAINDICATION: ACTION: ROUTE: DOSAGE/FREQUENCY: ONSET: PEAK:
DURATION: SIDE EFFECTS: NURSING IMPLICATION:
Vitamin K correct answersGENERIC: Phytonadione CLASSIFICATION:
CONTRAINDICATION: ACTION: provides vitamin K bc the newborn does not have the
intestinal flora to produce this vitamin in the 1st week after birth. It also promotes formation of
clotting factors (II, VII, IX, X) in the liver. ROUTE: IMDOSAGE/FREQUENCY: Administer a
0.5-1mg (0.25- to 0.5-mL) IM within 2 hrs of birth; can be repeated if the newborn shows
bleeding tendencies. ONSET: PEAK: DURATION: SIDE EFFECTS: Edema, erythema, & pain
@ the injection site occur rarely; hemolysis, jaundice, & hyperbilirubinemia have been reported,
particularly in preterm infants. NURSING IMPLICATION: Vitamin K is never administered by
IV route for the prevention of hemorrhagic disease of the newborn except in some cases of a
preterm infant who has no muscle mass. In such instances, the medication is diluted and given
over 10 to 15 minutes while closely monitoring the infant with a cardiorespiratory monitor.
Rapid IV administration of vitamin K can cause cardiac arrest.
Pitocin correct answersGENERIC: oxytocin CLASSIFICATION: CONTRAINDICATION:
ACTION: is a hormone produced in the posterior pituitary gland that stimulates uterine
contractions and aids in milk let-down. Pitocin is a synthetic form of this hormone. ROUTE: IV
DOSAGE/FREQUENCY: Oxytocin IV solution should be mixed in a standard concentration.
Concentrations often used r 10 units in 1000 mL of fluid, 20 units in 1000 mL of fluid, or 30
units in 500 mL of fluid. • Use isotonic IV solutions to avoid electrolyte imbalance. • Oxytocin is
administered IV thru a secondary line connected to the main line @ the proximal port
(connection closest to the IV insertion site). Oxytocin is always administered by pump. • Begin
Magnesium Sulfate (Generic) correct answersCLASSIFICATION: Neuromuscular blockers: ^
effect. CONTRAINDICATION: hypersensitivity, abdominal pain, nausea/vomiting, obstruction,
acute surgical abdomen, rectal bleeding, heart block, myocardial damage. USES: anticonvulsant
in preeclampsia, eclampsia. ROUTE: almost always IV. DOSAGE/FREQUENCY: 4-6g, infused
over 15-30 mins; followed by a maintenance dose of Mag. Sul. that is diluted in an IV solution.
& admin by an infusion pump at 2g/hr. ONSET: unknown. PEAK: unknown. DURATION: 1/2
hr. SIDE EFFECTS: muscle weakness, flushing, sweating, confusion, sedation, depressed
reflexes, flaccid, paralysis, hypothermia, nausea, vomiting, anorexia, cramps. NURSING
IMPLICATION: assess Mag. toxicity: thirst, confusion, decrease in reflexes. Eclampsia: seizure
precautions, BP & ECG.
Erythromycin Ophthalmic Ointment correct answersGeneric: Erythromycin CLASSIFICATION:
Macrolide. CONTRAINDICATION: hypersensitivity, minor ocular irritation. ACTION: are both
bacteriostatic and bactericidal. provide prophylaxis against ophthalmia neonatorum. ROUTE:
Topical DOSAGE/FREQUENCY: Apply a 1- to 2-cm ribbon of ointment to the lower
conjunctival sac of each eye; can also be used in drop form. ONSET: PEAK: DURATION: SIDE
EFFECTS: chemical conjunctivitis that lasts 24 to 48 hours; vision can be blurred temporarily
NURSING IMPLICATION: Administer within 1 to 2 hours of birth. Wear gloves. Cleanse the
eyes if necessary before administration. Open the eyes by putting a thumb and finger at the
corner of each lid and gently pressing on the periorbital ridges. Squeeze the tube and spread the
ointment from the inner canthus of the eye to the outer canthus. Do not touch the tube to the eye.
After 1 minute, excess ointment may be wiped off. Observe eyes for irritation. Explain the
treatment to the parents.
Ibuprofen (Generic) correct answersTRADE NAME: Advil, Motrin, Caldolor, ElixSure IB, IBU,
Ibren, Midol, Wal-Profen. CLASSIFICATION: (NSAID) Non-steroidal anti-inflammatory
drugs. CONTRAINDICATION: Avoid in 3rd trimester of pregnancy. hypersensitivity to this
product, NSAIDs, salicylates, asthma, severe renal/hepatic disease. ACTION: analgesic, anti-
inflammatory ROUTE: PO or IV. DOSAGE/FREQUENCY: minor pain: 200mg q4-6hr, max
1200mg/day; Moderate-Severe (Caldolor) IV: 400-800mg q6hr; Analgesia: PO: 200-400mg q4-
6hr. 3.2g/day; OTC 1200mg/day; Dysmenorrhea: PO 400mg q4hr; max 1200mg/day. Anti-
inflammatory: PO 400-800mg tie-aid; 3.2mg/day, kid: 30-40mg/kg/day in 3-4 divided doses max
50mg/kg/day. ONSET: 1/2hr PEAK: 1-2hr DURATION: 4-6hr SIDE EFFECTS: headache,
nausea, anorexia, MI, Stroke, ulceration, GI perforation, nephrotoxicity. NURSING
IMPLICATION: assess for infection, pain, nephrotoxicity, allergic reactions, cardiac status,
I&O, identify fever.
Duramorph (Trade) correct answersTRADE NAME/GENERIC NAME: CLASSIFICATION:
analgesic CONTRAINDICATION: ACTION: ROUTE: DOSAGE/FREQUENCY: ONSET:
PEAK: DURATION: SIDE EFFECTS: NURSING IMPLICATION:
Nubain (Trade) correct answersGENERIC: Nalbuphine hydrochloride CLASSIFICATION:
Opioid Agonsit-Antagonist Analgesic CONTRAINDICATION: Hypersensitivity, addiction
(opioid) ACTION: stimulates kappa opioid receptors and blocks or weakly stimulates mu opioid
, receptors, resulting in good analgesia but with less respiratory depression and nausea and
vomiting. ROUTE/DOSAGE/FREQUENCY: IV 10mg q3hr, IM 10mg q3hr ONSET: IV- Rapid;
IM- up to 15 mins PEAK: IV- 1/2 hr, IM- 1hr DURATION: IV=2-4hrs, IM=4-6hrs SIDE
EFFECTS: Sedation, drowsiness, nausea, vomiting, dizziness, respiratory depression, temporary
absent or minimal FHR variability. NURSING IMPLICATION: May precipitate withdrawal
symptoms in opioid-dependent women & their newborns. Assess maternal vital signs, degree of
pain, FHR, & uterine activity before & after administration. Observe for maternal respiratory
depression, notifying primary health care provider if maternal respirations are ≤12 breaths/min.
Encourage voiding every 2 hours, & palpate for bladder distention. If birth occurs within 1 to 4
hours of dose administration, observe newborn for respiratory depression. Implement safety
measures as appropriate, including use of siderails & assistance with ambulation. Continue use
of nonpharmacologic pain relief measures.
Rhogam correct answersTRADE/GENERIC: CLASSIFICATION: CONTRAINDICATION:
ACTION: ROUTE: DOSAGE/FREQUENCY: ONSET: PEAK: DURATION: SIDE EFFECTS:
NURSING IMPLICATION
Narcan correct answersTRADE/GENERIC: CLASSIFICATION: CONTRAINDICATION:
ACTION: ROUTE: DOSAGE/FREQUENCY: ONSET: PEAK: DURATION: SIDE EFFECTS:
NURSING IMPLICATION:
Triple Antibiotic Ointment correct answersTRADE/GENERIC: CLASSIFICATION:
CONTRAINDICATION: ACTION: ROUTE: DOSAGE/FREQUENCY: ONSET: PEAK:
DURATION: SIDE EFFECTS: NURSING IMPLICATION:
Vitamin K correct answersGENERIC: Phytonadione CLASSIFICATION:
CONTRAINDICATION: ACTION: provides vitamin K bc the newborn does not have the
intestinal flora to produce this vitamin in the 1st week after birth. It also promotes formation of
clotting factors (II, VII, IX, X) in the liver. ROUTE: IMDOSAGE/FREQUENCY: Administer a
0.5-1mg (0.25- to 0.5-mL) IM within 2 hrs of birth; can be repeated if the newborn shows
bleeding tendencies. ONSET: PEAK: DURATION: SIDE EFFECTS: Edema, erythema, & pain
@ the injection site occur rarely; hemolysis, jaundice, & hyperbilirubinemia have been reported,
particularly in preterm infants. NURSING IMPLICATION: Vitamin K is never administered by
IV route for the prevention of hemorrhagic disease of the newborn except in some cases of a
preterm infant who has no muscle mass. In such instances, the medication is diluted and given
over 10 to 15 minutes while closely monitoring the infant with a cardiorespiratory monitor.
Rapid IV administration of vitamin K can cause cardiac arrest.
Pitocin correct answersGENERIC: oxytocin CLASSIFICATION: CONTRAINDICATION:
ACTION: is a hormone produced in the posterior pituitary gland that stimulates uterine
contractions and aids in milk let-down. Pitocin is a synthetic form of this hormone. ROUTE: IV
DOSAGE/FREQUENCY: Oxytocin IV solution should be mixed in a standard concentration.
Concentrations often used r 10 units in 1000 mL of fluid, 20 units in 1000 mL of fluid, or 30
units in 500 mL of fluid. • Use isotonic IV solutions to avoid electrolyte imbalance. • Oxytocin is
administered IV thru a secondary line connected to the main line @ the proximal port
(connection closest to the IV insertion site). Oxytocin is always administered by pump. • Begin
