OB Clinical Medication List(All correctly answered)
Anaprox correct answersMechanism of action: competitively inhibits COX-1 & COX-2, by
blocking arachidonate binding resulting in analgesic, antipyretic, and anti-inflammatory effects
Side effects: headache, drowsiness, insomnia, nausea, abdominal pain
Use in obstetrics: NSAID used for pain relief
Ambien correct answersMechanism of action: Subunit modulation of the GABA-A receptor
chloride channel macromolecular complex is responsible for sedative, anti-convulsant,
anxiolytic, and myorelaxant drug properties
Side effects: dizziness, drowsiness, headache, nausea
Use in obstetrics: hypertonic uterine dysfunction, used to facilitate rest and sleep
Atarax correct answersMechanism of action: competes with histamine for H1-receptor sites on
the effector cell surface
Side effects: drowsiness, headache, dry mouth
Use in obstetrics: sedative used to relieve symptoms of colic in babies
Betamethasone correct answersMechanism of action: Corticosteroid Hormone Receptor Agonist
Side effects: increase in WBC count, hyperglycemia (mother), decrease in breathing and
movement (fetus)
Use in obstetrics: Stimulates fetal lung maturation by promoting release of enzymes that induce
production or release of lung surfactant
Bicitra correct answersMechanism of action: buffer and neutralizer of GI acid
Side effects: nausea, vomiting, diarrhea, stomachache
Use in obstetrics: nonparticulate (clear) oral antacid to be given prior to general anesthesia before
delivery, neutralizes pH of stomach acid
Calcium gluconate correct answersMechanism of action: Calcium antagonizes the action of
magnesium at a cellular level
Side effects: nausea, vomiting, constipation
Use in obstetrics: antidote for magnesium sulfate toxicity in women with preeclampsia
, Cervadil correct answersMechanism of action: PGE2 ripens the cervix, making it softer and
causing it to begin to dilate and efface; it stimulates uterine contractions
Side effects: headache, nausea and vomiting, diarrhea, fever, hypotension, uterine tachysystole
with or without an abnormal FHR and pattern, or fetal passage of meconium.
Use in obstetrics: preinduction cervical ripening and inducement of labor or abortion, vaginal
insert
Cytotec correct answersMechanism of action: PGE1 acts directly on the cervix to soften and
dilate and on the uterine muscle to stimulate contractions
Side effects: nausea and vomiting, diarrhea, fever, uterine tachysystole with or without an
abnormal FHR and pattern, or fetal passage of meconium
Use in obstetrics: oral or vaginal, preinduction cervical ripening inducement of labor or abortion
Duramorph correct answersMechanism of action: opiate receptor agonist
Side effects: nausea, vomiting, diminished peristalsis, pruritus, urinary retention, and delayed
respiratory depression
Use in obstetrics: pain relief for 4 to 7 hours, IV or epidural
Erythromycin ophthalmic ointment correct answersMechanism of action: bacteriostatic and
bactericidal. They provide prophylaxis against ophthalmia neonatorum
Side effects: chemical conjunctivitis that lasts 24 to 48 hours; temporary blurred vision
Use in obstetrics: prophylaxis for ophthalmia neonatorum in newborns of mothers who are
infected with gonorrhea and chlamydia
Hemabate correct answersMechanism of action: Carboprost tromethamine has stimulatory
effects on uterine muscle
Side effects: Headache, nausea, vomiting, diarrhea, fever, chills, tachycardia, hypertension
Use in obstetrics: Contraction of uterus
Hepatitis B immunization correct answersMechanism of action: induces protective antihepatitis
B antibodies in 95% to 99% of healthy infants who receive the recommended three doses
Side effects: rash, fever, erythema, swelling, and pain at injection site
Use in obstetrics: immunization against infection caused by all known subtypes of hepatitis B
virus (HBV)
Anaprox correct answersMechanism of action: competitively inhibits COX-1 & COX-2, by
blocking arachidonate binding resulting in analgesic, antipyretic, and anti-inflammatory effects
Side effects: headache, drowsiness, insomnia, nausea, abdominal pain
Use in obstetrics: NSAID used for pain relief
Ambien correct answersMechanism of action: Subunit modulation of the GABA-A receptor
chloride channel macromolecular complex is responsible for sedative, anti-convulsant,
anxiolytic, and myorelaxant drug properties
Side effects: dizziness, drowsiness, headache, nausea
Use in obstetrics: hypertonic uterine dysfunction, used to facilitate rest and sleep
Atarax correct answersMechanism of action: competes with histamine for H1-receptor sites on
the effector cell surface
Side effects: drowsiness, headache, dry mouth
Use in obstetrics: sedative used to relieve symptoms of colic in babies
Betamethasone correct answersMechanism of action: Corticosteroid Hormone Receptor Agonist
Side effects: increase in WBC count, hyperglycemia (mother), decrease in breathing and
movement (fetus)
Use in obstetrics: Stimulates fetal lung maturation by promoting release of enzymes that induce
production or release of lung surfactant
Bicitra correct answersMechanism of action: buffer and neutralizer of GI acid
Side effects: nausea, vomiting, diarrhea, stomachache
Use in obstetrics: nonparticulate (clear) oral antacid to be given prior to general anesthesia before
delivery, neutralizes pH of stomach acid
Calcium gluconate correct answersMechanism of action: Calcium antagonizes the action of
magnesium at a cellular level
Side effects: nausea, vomiting, constipation
Use in obstetrics: antidote for magnesium sulfate toxicity in women with preeclampsia
, Cervadil correct answersMechanism of action: PGE2 ripens the cervix, making it softer and
causing it to begin to dilate and efface; it stimulates uterine contractions
Side effects: headache, nausea and vomiting, diarrhea, fever, hypotension, uterine tachysystole
with or without an abnormal FHR and pattern, or fetal passage of meconium.
Use in obstetrics: preinduction cervical ripening and inducement of labor or abortion, vaginal
insert
Cytotec correct answersMechanism of action: PGE1 acts directly on the cervix to soften and
dilate and on the uterine muscle to stimulate contractions
Side effects: nausea and vomiting, diarrhea, fever, uterine tachysystole with or without an
abnormal FHR and pattern, or fetal passage of meconium
Use in obstetrics: oral or vaginal, preinduction cervical ripening inducement of labor or abortion
Duramorph correct answersMechanism of action: opiate receptor agonist
Side effects: nausea, vomiting, diminished peristalsis, pruritus, urinary retention, and delayed
respiratory depression
Use in obstetrics: pain relief for 4 to 7 hours, IV or epidural
Erythromycin ophthalmic ointment correct answersMechanism of action: bacteriostatic and
bactericidal. They provide prophylaxis against ophthalmia neonatorum
Side effects: chemical conjunctivitis that lasts 24 to 48 hours; temporary blurred vision
Use in obstetrics: prophylaxis for ophthalmia neonatorum in newborns of mothers who are
infected with gonorrhea and chlamydia
Hemabate correct answersMechanism of action: Carboprost tromethamine has stimulatory
effects on uterine muscle
Side effects: Headache, nausea, vomiting, diarrhea, fever, chills, tachycardia, hypertension
Use in obstetrics: Contraction of uterus
Hepatitis B immunization correct answersMechanism of action: induces protective antihepatitis
B antibodies in 95% to 99% of healthy infants who receive the recommended three doses
Side effects: rash, fever, erythema, swelling, and pain at injection site
Use in obstetrics: immunization against infection caused by all known subtypes of hepatitis B
virus (HBV)
