Maternity & Newborn Meds Flashcards Preview

NCLEX-RN (7) Maternity > Maternity & Newborn Meds > Flashcards

Flashcards in Maternity & Newborn Meds Deck (14)
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1

What supplement is given to a pregnant woman to prevent neural tube defects in the fetus?

folic acid - may cause bright yellow urine.

2

What supplement is given to a pregnant woman to prevent low hemoglobin and hematocrit?

Iron supplements

  1. give with a source of vitamin C for best absorption
    • orange juice
    • strawberries
    • tomato juice
  2. may cause constipation and dark-colored stool

3
Indication:

magnesium sulfate

Given to prevent contractions (pre-eclampsia) and eclampsia (seizures) in a pregnant woman.

4
Nursing considerations:

magnesium sulfate

  • monitor urine output, level of consciousness, and deep tendon reflexes
  • monitor blood pressure
  • keep calcium gluconate available (antidote)

Magnesium is controlled by the kidneys, can cause sedation and controls skeletal muscles.

5
Indication:

oxytocin

  • a hormone to stimulate contractions for labor
  • to prevent postpartum hemorrhage

6
Nursing considerations:

oxytocin

  • don't increase med if contractions are 2 - 3 minutes apart and last 60 seconds long
  • stop med if contractions are < 2 minutes apart or > 90 seconds long or if fetal distress is noted
  • count pads to assess for bleeding
  • keep magnesium sulfate available (antidote)

7
Indication

Prostaglandins

To quicken labor by making the cervix softer and causing it to dilate and efface.

8
Generic name:

Prostaglandin

Misoprostol intravaginal tablet

9
Indication and nursing considerations:

rho D immune globulin

  • give to Rh negative pregnant woman
  • give at 28 weeks of gestation and within 72 hours of delivery

10
Indication and nursing considerations:

betamethasone

  • given to pregnant women to prevent neonatal respiratory distress syndrome
  • give between 28 and 32 weeks once daily as an IM shot

11
Indication and nursing considerations:

lung surfactant

  • given to premature newborns to prevent respiratory distress
  • administered through an endotracheal tube

12
Indication and nursing considerations:

phytonadione (vitamin K)

  • to prevent bleeding in newborns
  • give IM in vastus lateris muscle (thigh muscle)
  • given within 1 hour of birth

13
Indication and nursing considerations:

erythromycin ointment

  • given to newborn to prevent gonorrhea and chlamydia
  • give 1 hour after birth

14
Nursing considerations:

hepatitis B vaccine

Give to newborn before leaving hospital as an IM shot