Labor and Delivery Flashcards
1
Q
preterm labor
A
labor before 37wks gestation
leading cause of infant death - 75%
2
Q
induced labor
A
22% labors induced
when:
beyond term - 42wks
when early delivery reduces morbidity and mortality to infant/mother
3
Q
labor and delivery meds
A
oxytocin
methylergonovine
terbutaline
magnesium sulfate
4
Q
oxytocin
A
increases strength, frequency, and length of contractions use pump and monitor closely STOP if: resting uterine pressure>15-20mmHg contraction duration>1min contraction freq>2-3min pronounced alteration of FHR or rhythm
5
Q
methylergonovine
A
controls postpartum bleeding and causes POWERFUL contractions - oxytocin tried 1st
high risk of HTN
6
Q
terbutaline
A
suppresses preterm labor by activating beta2 uterine receptors to relax uterus
tachycardia, hypoTN, pulm edema, hyperglycemia
7
Q
magnesium sulfate
A
used for preeclampsia (prevent seizures)
NTI
toxicity: RR<12, loss of DTR, hypoTN, decreased urinary output
antidote: calcium gluconate
8
Q
preeclampsia sx
A
HTN, fluid retention, proteinuria
may cause seizures
