Maternity Meds

Question 1

Maternity Medications that STOP contractions

Answer 1

Terbutaline Sulfate and Ritodrine
Causes tachycardia in mother and baby, decreases potassium

Question 2

Maternity Medications that START contractions

Answer 2

Oxytocin
Assess character, frequency and duration of contractions
STOP when 2 minutes apart and lasts more than 60 seconds
Monitor fetal heart rate every 15 minutes
Releases milk in pregnant women
IV piggybacked into main line
Antidiuretic effect can cause water intoxication

Question 3

Maternity Medications that reduce pain

Answer 3

Butorphanol
Binds to opiate receptors to reduce labor pains
S/E - N/v, drowsy/dizzy, confusion, respiratory depression, bradycardia and hypotension

Question 4

Maternity What is butorphanol contraindicated in

Answer 4

Clients with renal complications and history of opioid dependency

Question 5

Maternity Medications that lower blood pressure in pre-eclampsia

Answer 5

Magnesium Sulfate
Decreases respirations, reflexes and urine output.
Indwelling catheter needed to monitor urine output
Monitor reflexes and respirations

Question 6

Magnesium Sulfate Antidote

Answer 6

Calcium Gluconate

Question 7

Maternity Meds that stop post-partum hemorrhage / bleedingf

Answer 7

Methergine
Give IM can cause hypertensive crisis
Do not give before placenta delivers.

Question 8

Methergine Side Effects

Answer 8

Dizzy, headache, tinnitus, cardiac palpitations

Avoid smoking due to vasoconstriction
No grapefruit
No breastfeeding for 12 hours after taking

Question 9

Increases fetal lung maturity

Answer 9

Betamethasone - IM
Administered antenatally (34 to 36 weeks gestation if birth is imminent)
2 12mg doses 24 hours a part

Question 10

S/E of Betamethasone

Answer 10

Hypertension
pruritus
hyperglycemia