Labor/Delivery Medications(100% Correct answers)
aquamephyton (Vitamin K) correct answersphytonadione (Generic)
Classification: fat-soluble vitamin
MOA:
Helps Blood clot. Prevents Vitamin K deficiency disorder in new borns.
Adult 2.5-25mg, may repeat or increase to 50mg
PO/Subcut/IM 1-10mg. Repeat 12-48 (if needed)after PO dose or 6-8 after subcut/IM based on
INR
Neonates IM 0.5-1mg within 1 hr after birth, repeat after 2-3wk if required.
Action:
treat vitamin K deficiency and to treat certain bleeding or blood clotting problems
Side Effects:
Hyperbilirubinemia has been observed in the newborn; rapid and weak pulse and brief
hypotension; flushing, diaphoresis, chest pain, tachycardia, cyanosis, weakness, and dyspnea
may precede the cardiopulmonary event;
Assess for bleeding, clotting time, vitals
Labs: Monitor: INR
butorphanol (stadol) correct answersDrug Class: 'Analgesics' - Opioids
Usual dose/route:1 mg (range 0.5 to 2 mg) IV every 3 to 4 hours as needed; 2 mg (range 1 to 4
mg) IM every 3-4 hours as needed
MOA: synthetic mixed agonist-antagonist analgesic.
Indications: Anesthesia, Labor Pain
Side effects:Confusion, sedation, hallucinations, "floating" feeling, drowsiness, headache,
dizziness, nervousness, sweating; maternal palpitations and tachycardia or bradycardia; transient
nonpathologic sinusoidal-like fetal heart rate rhythm; respiratory depression; nausea and
vomiting; difficulty with urination (retention, urgency)
Monitor for: Pain reduction, bowel movements, blood pressure.
Erythromycin Opthalmic Ointment correct answersDrug class: opthalmic anti-infective
MOA:
, Usual dose/route:-given within one hour of birth
-one ampoule per baby to avoid cross contamination
-a line of ointment 1‐2cm long is placed in the lower conjunctival sac
-gently massage closed eyelids to aid in absorption and dispersion of ointment
-remove any excess ointment from eye area after one minute if desired with sterile gauze
-do not rinse
Side effects:edema, inflammation, and discharge for 24 - 48 hours.
Purpose for giving to newborn: to prevent infection (Chlamydia
Parent teaching: Patients should report to their physician any signs of local adverse reactions.
Pitocin (Oxytocin) correct answersDrug class: synthetic hormone
Usual dose/route: IV standard concentration of 10 units to 1000ml, 20 units to 1000ml and 30
units in 500ml
Admin through a second line connected to main line and always by pump. Begin dosage at 1
milliunit per minute and increase the rate by 1-2 milliunits per minute no more frequently than
every 30-60 minutes based on progression of labor.
Side effects:
MATERNAL: uterine tachysystole (more than 5 contractions in 10 min or a series of single
contractions lasting greater than or = to 2 min or contractions of normal duration occurring
within 1 minute of each other), placental abruptions, uterine rupture, unnecessary c section due
to abnormal FHR and patterns postpartum hemorrhaging, and infection.
FETAL: hypoxemia and acidosis eventually resulting in abnormal FHR and patterns.
Use in obstetrics: primarily used for labor induction and augmentation, stimulate lactation,
prevent hemorrhage post partum
Patient teaching: explain reasons for usage, effects of the drug (expect contractions, intensity and
more frequent) monitoring to anticipate
Magnesium Sulfate correct answersTrade Name: Epsom salt, magnesium sulfate
Classification: Electrolyte; anticonvulsant, laxative, saline; antacid
Indications:Torsade de pointes, drug of choice. Hypomagnesmia; Pre-Term Labor (PTL);
Pregnancy-induced Hypertension (PIH, toxemia of pregnancy, Pre-eclampsia and/or eclampsia;
Hyperreactive Airway - Severe asthma
Dosing: IV fluid should contain 40g in 100mL, piggyback to primary infusion, and administer
using controller pump.
Loading dose= 4-6 g over 20-30 minutes. Maintenance 1-4g/hr.
MOA: Increases osmotic pressure, draws fluid into the colon and neutralizes HCl
aquamephyton (Vitamin K) correct answersphytonadione (Generic)
Classification: fat-soluble vitamin
MOA:
Helps Blood clot. Prevents Vitamin K deficiency disorder in new borns.
Adult 2.5-25mg, may repeat or increase to 50mg
PO/Subcut/IM 1-10mg. Repeat 12-48 (if needed)after PO dose or 6-8 after subcut/IM based on
INR
Neonates IM 0.5-1mg within 1 hr after birth, repeat after 2-3wk if required.
Action:
treat vitamin K deficiency and to treat certain bleeding or blood clotting problems
Side Effects:
Hyperbilirubinemia has been observed in the newborn; rapid and weak pulse and brief
hypotension; flushing, diaphoresis, chest pain, tachycardia, cyanosis, weakness, and dyspnea
may precede the cardiopulmonary event;
Assess for bleeding, clotting time, vitals
Labs: Monitor: INR
butorphanol (stadol) correct answersDrug Class: 'Analgesics' - Opioids
Usual dose/route:1 mg (range 0.5 to 2 mg) IV every 3 to 4 hours as needed; 2 mg (range 1 to 4
mg) IM every 3-4 hours as needed
MOA: synthetic mixed agonist-antagonist analgesic.
Indications: Anesthesia, Labor Pain
Side effects:Confusion, sedation, hallucinations, "floating" feeling, drowsiness, headache,
dizziness, nervousness, sweating; maternal palpitations and tachycardia or bradycardia; transient
nonpathologic sinusoidal-like fetal heart rate rhythm; respiratory depression; nausea and
vomiting; difficulty with urination (retention, urgency)
Monitor for: Pain reduction, bowel movements, blood pressure.
Erythromycin Opthalmic Ointment correct answersDrug class: opthalmic anti-infective
MOA:
, Usual dose/route:-given within one hour of birth
-one ampoule per baby to avoid cross contamination
-a line of ointment 1‐2cm long is placed in the lower conjunctival sac
-gently massage closed eyelids to aid in absorption and dispersion of ointment
-remove any excess ointment from eye area after one minute if desired with sterile gauze
-do not rinse
Side effects:edema, inflammation, and discharge for 24 - 48 hours.
Purpose for giving to newborn: to prevent infection (Chlamydia
Parent teaching: Patients should report to their physician any signs of local adverse reactions.
Pitocin (Oxytocin) correct answersDrug class: synthetic hormone
Usual dose/route: IV standard concentration of 10 units to 1000ml, 20 units to 1000ml and 30
units in 500ml
Admin through a second line connected to main line and always by pump. Begin dosage at 1
milliunit per minute and increase the rate by 1-2 milliunits per minute no more frequently than
every 30-60 minutes based on progression of labor.
Side effects:
MATERNAL: uterine tachysystole (more than 5 contractions in 10 min or a series of single
contractions lasting greater than or = to 2 min or contractions of normal duration occurring
within 1 minute of each other), placental abruptions, uterine rupture, unnecessary c section due
to abnormal FHR and patterns postpartum hemorrhaging, and infection.
FETAL: hypoxemia and acidosis eventually resulting in abnormal FHR and patterns.
Use in obstetrics: primarily used for labor induction and augmentation, stimulate lactation,
prevent hemorrhage post partum
Patient teaching: explain reasons for usage, effects of the drug (expect contractions, intensity and
more frequent) monitoring to anticipate
Magnesium Sulfate correct answersTrade Name: Epsom salt, magnesium sulfate
Classification: Electrolyte; anticonvulsant, laxative, saline; antacid
Indications:Torsade de pointes, drug of choice. Hypomagnesmia; Pre-Term Labor (PTL);
Pregnancy-induced Hypertension (PIH, toxemia of pregnancy, Pre-eclampsia and/or eclampsia;
Hyperreactive Airway - Severe asthma
Dosing: IV fluid should contain 40g in 100mL, piggyback to primary infusion, and administer
using controller pump.
Loading dose= 4-6 g over 20-30 minutes. Maintenance 1-4g/hr.
MOA: Increases osmotic pressure, draws fluid into the colon and neutralizes HCl
