Medications

Question 1

Magnesium Sulfate (preterm labor)

Answer 1

• used to inhibit contractions during preterm labor
• helps protect the newborns brain

Question 2

magnesium sulfate (pre-eclampsia)

Answer 2

• treatment, prevention, and reduction of risk for seizures in women with preeclampsia

Question 3

oxytocin (Pitocin)

Answer 3

• stimulates/improves uterine contractions during labor
• can reduce bleeding after birth
• is the “let down” reflex for breastfeeding

Question 4

Terbutaline (Brethine) - OFF LABEL USE

Answer 4

• used to stop or delay preterm labor
• slow and prevent contractions

Question 5

Dinoprostone (Cervidil)

Answer 5

• used to prepare the cervix for the induction of labor - softens the cervix

Question 6

carboprost (hemabate)

Answer 6

used to treat severe postpartum hemorrhage
(avoid in asthmatics)

Question 7

methylergonovine (methergine)

Answer 7

• helps deliver the placenta
• helps control postpartum bleeding
  (avoid use in those with HTN)

Question 8

misoprostol (cytotec) - OFF LABEL USE

Answer 8

• used to soften cervix or induce contractions
• effective for postpartum hemorrhage
• given after miscarriage or for fetal loss to have mom go into labor

Question 9

fentanyl IV push

Answer 9

• used to treat pain during labor and delivery
• short acting with half life of 30 min, so can be given close to delivery
• can be used with epidural

Question 10

penicillin

Answer 10

• given to women in labor that test positive for group B strep to prevent passing infection to newborn

Question 11

Ondansetron (zofran)

Answer 11

• used for N/V
• hyperemesis

Question 12

betamethoasone

Answer 12

• given to women at risk for preterm delivery
• speeds up lung development in baby to prevent respiratory distress if delivered early

Question 13

methotrexate

Answer 13

• can be given for treatment of ectopic pregnancy
• stops development of the fertilized egg - “basically dissolves”

Question 14

Indomethacin - OFF LABEL USE

Answer 14

• prostaglandin inhibitor - acts by inhibiting the production of cytokines that may trigger labor
• decreases uterine contractions, and can prevent delivery up to 2 days

Question 15

Rho (D) immune globulin (Rhogam)

Answer 15

• given to Rh incompatibility in moms who are Rh negative
• prevents the development of antibodies

Question 16

Vitamin K

Answer 16

• given to newborns to prevent bleeding disorders

Question 17

erythromycin ointment

Answer 17

• antibiotic ointment
• given to newborn for preventions of eye infections that can be caused by STIs

Question 18

Hep B vaccination

Answer 18

• given to newborn to protect against Hep B virus
• first dose is given shortly after birth

Question 19

Surfactant

Answer 19

• given to preterm babies to keep their lungs open and prevent respiratory distress