MATERNITY NURSING PHARMACOLOGY. EXAM REVISION
QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED
A+) (2024 UPDATE)
Have client void before admin and then have her maintain a supine with lateral tilt or side lying
position for 30 to 60 minutes (gel) or up to 2 hours (insert) after admin.
Treatment discontinued when bishop score is 8 or more or effective contraction pattern established.
Example of Prostaglandins - ANSWER- Dinoprostone (Cervidil vaginal insert, Prepidil gel)
Uterine Stimulants - Oxytocin (Pitocin) - ANSWER- Stimulates smooth muscle of uterus and
include force, frequency and duration of contractions
For induction of labor, controls postpartum bleeding, facilitates breastfeeding, manages
incomplete abortion
Adverse reactions - ANSWER- Can produce uterine hypertonicity, high doses can cause
hypotension
Postpartum hemorrhage
Shouldn't be used for client who can't deliver vaginally
Interventions - ANSWER- Piggybacked at port nearest point of venous insertion
Give O2 if prescribed
If hypertonic contractions, stop infusion, turn client on side, inc flow rate of IV, give O2 8 - 10 L,
assess vital signs, FHR
, Ergot alkaloids - ANSWER- Directly stimulating uterine muscle, inc force and frequency of
contractions and produce a firm tetanic contraction of uterus
Not administered before delivery of placenta!
Used to control postpartum hemorrhage and postabortal hemorrhage from atony or involution
Can produce arterial vasoconstriction and vasospasm of coronary arteries so important to assess
circulation
Examples of Ergot alkaloids - ANSWER- methylergonovine maleate (Methergine)
Ergonovine maleate
Prostaglandin F2 (Hemabate) - ANSWER- Contracts uterus for postpartum hemorhhage
Contraindicated if client has asthma
Meds for Postpartum Bleeding - ANSWER- Ergot alkaloid - Methergine
Oxytocin
Prostaglandin F2 - Hemabate
Rubella vaccine - ANSWER- Given SQ before hospital discharge to a nonimmune postpartum
client
Assess for allergy to duck eggs
Do not give if client or other family is immunocompromised. Avoid pregnancy for 1 - 3 months
after.
QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED
A+) (2024 UPDATE)
Have client void before admin and then have her maintain a supine with lateral tilt or side lying
position for 30 to 60 minutes (gel) or up to 2 hours (insert) after admin.
Treatment discontinued when bishop score is 8 or more or effective contraction pattern established.
Example of Prostaglandins - ANSWER- Dinoprostone (Cervidil vaginal insert, Prepidil gel)
Uterine Stimulants - Oxytocin (Pitocin) - ANSWER- Stimulates smooth muscle of uterus and
include force, frequency and duration of contractions
For induction of labor, controls postpartum bleeding, facilitates breastfeeding, manages
incomplete abortion
Adverse reactions - ANSWER- Can produce uterine hypertonicity, high doses can cause
hypotension
Postpartum hemorrhage
Shouldn't be used for client who can't deliver vaginally
Interventions - ANSWER- Piggybacked at port nearest point of venous insertion
Give O2 if prescribed
If hypertonic contractions, stop infusion, turn client on side, inc flow rate of IV, give O2 8 - 10 L,
assess vital signs, FHR
, Ergot alkaloids - ANSWER- Directly stimulating uterine muscle, inc force and frequency of
contractions and produce a firm tetanic contraction of uterus
Not administered before delivery of placenta!
Used to control postpartum hemorrhage and postabortal hemorrhage from atony or involution
Can produce arterial vasoconstriction and vasospasm of coronary arteries so important to assess
circulation
Examples of Ergot alkaloids - ANSWER- methylergonovine maleate (Methergine)
Ergonovine maleate
Prostaglandin F2 (Hemabate) - ANSWER- Contracts uterus for postpartum hemorhhage
Contraindicated if client has asthma
Meds for Postpartum Bleeding - ANSWER- Ergot alkaloid - Methergine
Oxytocin
Prostaglandin F2 - Hemabate
Rubella vaccine - ANSWER- Given SQ before hospital discharge to a nonimmune postpartum
client
Assess for allergy to duck eggs
Do not give if client or other family is immunocompromised. Avoid pregnancy for 1 - 3 months
after.
