NCLIN 416 OB Meds(with Errorless answers)
Magnesium Sulfate - Route, Actions, Indications correct answersRoute: IV
Action: Promotes relaxation of smooth muscles by competing with calcium in cells
Indications:
- Treatment of preeclampsia
- Relaxes muscles including the uterus
- Used in women where other tocolytic agents are contraindicated
Magnesium Sulfate - side effects , contraindications correct answersMaternal:
- Hot flushes, sweating, n/v, dry mouth, drowsiness, blurred vision, diplopia, headache
- Hypocalcemia
- SOB
- Transient hypotension
Contraindications:
Should not be given to women with myasthenia gravis
Terbutaline - Route, Actions, Indications correct answersRoute: Subcut
Actions:
Relaxes uterine smooth muscle due to stimulation of beta2 receptors in the uterine smooth
muscle and causes bronchodilation.
Indications:
- Tocolysis
- Diagnose preterm labor
Terbutaline - side effects , contraindications correct answersMaternal:
- Tachycardia, chest discomfort, palpitations, arrhythmias
- Tremors, dizziness, nervousness
- Headache
- Nasal congestion, n/v
- Hypokalemia, hyperglycemia
- Hypotension
Fetal
- Tachycardia, hyperinsulinemia, hyperglycemia
Contraindications:
Hx of cardiac disease, pregestational or gestational diabetes, severe gestational hypertension,
preeclampsia or eclampsia, migraine headaches or hyperthyroidism or
Betamethasone - Route, Actions, Indications correct answersRoute: IM
, Actions:
Stimulates maturation of the fetal lung through promotion of the release of enzymes that induce
production/release of surfactant.
Indication (what Gestational Age?):
Prevents/reduces severity of neonatal respiratory distress syndrome by increasing lung maturity
Gestational age: Between 24-34 wks
Betamethasone - side effects , contraindications correct answersSide Effects:
- Pulmonary edema
- May worsen maternal condition (diabetes, HTN)
Contraindications:
Use of beta-adrenergic medications
What are the benefits of betamethasone to an infant? correct answersReduces risk of:
- Respiratory Distress Syndrome
- Intraventricular hemorrhage
- Necrotizing enterocolitis
Human Rh Immune Globulin - Route, Actions, Indications correct answersRoute: IM, IV (if
prophylactic)
Actions:
Suppresses immune response in nonsensitized women with Rh (-) blood receiving Rh (+) blood
cells due to fetomaternal hemorrhage, transfusion or accident.
Indications:
- Routine antepartum prevention for Rh (-) women at 28 weeks of gestation
Antibody formation suppression after birth, miscarriage, or pregnancy termination; abdominal
trauma, ectopic pregnancy, amniocentesis, version or chorionic villus sampling
Human Rh Immune Globulin - side effects , contraindications correct answersSide Effects:
- Myalgia, lethargy, tenderness and stiffness at injection site, fever, headache
- Rare: n/v, hypotension, tachycardia, allergic responses
Contraindications:
- Hypersensitivity to human immune globulin products
- Not for use in infants
When is TDaP optimally given? Why? correct answers27-36 weeks
Level of antibodies decreases over time so it should be administered during pregnancy to pass
greatest number of antibodies to infant
TDaP - Route, Actions, Indications correct answersRoute: IM
Magnesium Sulfate - Route, Actions, Indications correct answersRoute: IV
Action: Promotes relaxation of smooth muscles by competing with calcium in cells
Indications:
- Treatment of preeclampsia
- Relaxes muscles including the uterus
- Used in women where other tocolytic agents are contraindicated
Magnesium Sulfate - side effects , contraindications correct answersMaternal:
- Hot flushes, sweating, n/v, dry mouth, drowsiness, blurred vision, diplopia, headache
- Hypocalcemia
- SOB
- Transient hypotension
Contraindications:
Should not be given to women with myasthenia gravis
Terbutaline - Route, Actions, Indications correct answersRoute: Subcut
Actions:
Relaxes uterine smooth muscle due to stimulation of beta2 receptors in the uterine smooth
muscle and causes bronchodilation.
Indications:
- Tocolysis
- Diagnose preterm labor
Terbutaline - side effects , contraindications correct answersMaternal:
- Tachycardia, chest discomfort, palpitations, arrhythmias
- Tremors, dizziness, nervousness
- Headache
- Nasal congestion, n/v
- Hypokalemia, hyperglycemia
- Hypotension
Fetal
- Tachycardia, hyperinsulinemia, hyperglycemia
Contraindications:
Hx of cardiac disease, pregestational or gestational diabetes, severe gestational hypertension,
preeclampsia or eclampsia, migraine headaches or hyperthyroidism or
Betamethasone - Route, Actions, Indications correct answersRoute: IM
, Actions:
Stimulates maturation of the fetal lung through promotion of the release of enzymes that induce
production/release of surfactant.
Indication (what Gestational Age?):
Prevents/reduces severity of neonatal respiratory distress syndrome by increasing lung maturity
Gestational age: Between 24-34 wks
Betamethasone - side effects , contraindications correct answersSide Effects:
- Pulmonary edema
- May worsen maternal condition (diabetes, HTN)
Contraindications:
Use of beta-adrenergic medications
What are the benefits of betamethasone to an infant? correct answersReduces risk of:
- Respiratory Distress Syndrome
- Intraventricular hemorrhage
- Necrotizing enterocolitis
Human Rh Immune Globulin - Route, Actions, Indications correct answersRoute: IM, IV (if
prophylactic)
Actions:
Suppresses immune response in nonsensitized women with Rh (-) blood receiving Rh (+) blood
cells due to fetomaternal hemorrhage, transfusion or accident.
Indications:
- Routine antepartum prevention for Rh (-) women at 28 weeks of gestation
Antibody formation suppression after birth, miscarriage, or pregnancy termination; abdominal
trauma, ectopic pregnancy, amniocentesis, version or chorionic villus sampling
Human Rh Immune Globulin - side effects , contraindications correct answersSide Effects:
- Myalgia, lethargy, tenderness and stiffness at injection site, fever, headache
- Rare: n/v, hypotension, tachycardia, allergic responses
Contraindications:
- Hypersensitivity to human immune globulin products
- Not for use in infants
When is TDaP optimally given? Why? correct answers27-36 weeks
Level of antibodies decreases over time so it should be administered during pregnancy to pass
greatest number of antibodies to infant
TDaP - Route, Actions, Indications correct answersRoute: IM
