OB drugs Flashcards

Question

Dermoplast nursing implications

Answer 1

Assess patients pain level and perineal site and perineal site Provide topical spray to increase in pain or bowl movement/urination to reduce pain

Answer 2

Hypersensitivity to erythromycin

Answer 3

Provides bactericidal and bacteriostatic actions to prevent Neisseria gonorrhea and chlamydia trachomatis conjuctivitis. Prevents ophthalmic neonatorum.

Answer 4

Eye redness

Answer 5

What for chemical conjuctivitis for 1-2 days, wear gloves wipe off excess after 1 minute

Answer 6

Postpartum

Answer 7

Asthma or active CVD, active pulmonary or renal or hepatic disease

Answer 8

Stimulates uterine contractions also to reduce bleeding when not controlled by first line therapy (oxytocin). Repeated every 15-90 minutes up to 8 doses. treats postpartum hemorrhage due to uterine atony when not controlled by other methods.

Answer 9

Fever, chills, HA, N/V/D, flushing and bronchospasm

Answer 10

VS, uterine contractions, clients comfort level, bleeding status as per protocol. Monitor adverse side effects

Answer 11

Ante/Postpartum; newborn

Answer 12

Prior anaphylaxis reaction to HepB or to bakers yeast

Answer 13

Given to newborns whose mother is HBsAg-positive. Standard to vaccinate all babies 3 injections within first 6 months. 1st is given within 12 hours of birth

Answer 14

injection site soreness, mild/moderate fever

Answer 15

Fever controlled with acetaminophen or ibuprofen NOT aspirin. Passive immunity is passed along from mother but goes away after some months and is less effective protective measure. Active immunity is through having disease or being vaccinated. Hep B can be transmitted mother to baby during birth but not through breast milk of infected mother to uninfected baby. Vaccine given to all infants after birth in most hospitals- 3 vax over 6 months.

Answer 16

Do not use unless the mother is positive for HBsAg

Answer 17

Given within 12 hours of birth (along with 1st shot of HBV, but at different site) to babies born to HBsAg positive mothers.

Answer 18

Pain at injection site, muscle pain, HA

Answer 19

Newborn should receive this HBIG along with HBV within 12 hours of birth if other is HBsAg positive. Regardless of vaccine status, all pregnant women should be tested for HBsAg

Answer 20

Postpartum

Answer 21

NONE, unless allergic to drug

Answer 22

Protects and conditions sore or cracked nipples due to breastfeeding. Treat diaper rash, skin irritation

Answer 23

None other than allergic rx to drug

Answer 24

Ante/intra/post partum

Answer 25

Hypersensitivity to drug; heart block; myocardial damage; IV use for preeclampsia/eclamps-ia during the 2 hours prior to delivery.

Answer 26

Tocolytic drug that interferes with contractions by causing the muscles to relax- it reduces the muscles ability to contract. Relaxes uterine muscles to stop irritability and contractions, to arrest uterine contractions for preterm labor. Has been used in seizure prophylaxsis and trxt of seizures in preeclampic and eclampic clients for almost 100 years.

Answer 27

Flushing, N/V, dry mouth, lethargy, blurred vision, HA

Answer 28

Admin IV with loading dose of 4-6 g over 15-30 minutes initially. Then maintain infusion at 1-4 g/hr/ Check VS, and DTRs HOURLY Report hypotension, or depressed or absent DTR Monitor LOC- report HA, blurred vision , dizziness, altered LOC>. Continuous fetal monitoring- report any decreased FHR variability, hypotonia, or respiratory depression I&Os hourly- report decreased output (<30) reversal agent: Calcium gluconate

Answer 29

Postpartum

Answer 30

HTN, hypersensitivity to methylgonovine

Answer 31

Stimulates the uterus to prevent and treat postpartum hemorrhage due to atony or subinvolution

Answer 32

HTN, seizures, uterine cramping, N/V and palpitations

Answer 33

Assess baseline bleeding, uterine tone, VS Q15. Report chest pain right away.

Answer 34

Intra/postpartum

Answer 35

Allergy, active CVD, pulmonary or hepatic disease, use with caution in women with asthma. Never give undiluted as a bolus injection IV.

Answer 36

Stimulates the uterus to contract/to reduce bleeding; a prostaglandin analog. Ripens cervix to induce labor.

Answer 37

N/V/D, uterine hyperstimulation, dysmenorrhea, spotting

Answer 38

Instruct client about purpose and possible adverse effects of medication. Ensure informed consent is signed VS, and FHR patterns Monitor clients reaction to drug, initiate oxytocin for labor induction at least 4 hours after last dose was administered.

Answer 39

Intra/Postpartum

Answer 40

Never give undiluted as a bolus injection intravenously. Should not be used if vaginal birth or spontaneous labor are contraindicated. Sever hypertension can occur if oxytocin follows the administration of vasopressor.

Answer 41

Stimulates the uterus to contract to the uterus to control bleeding from the placental site (20-40 units in a L IV or 10 units IM)

Answer 42

Hyperstimulation of the uterus, impaired uterine blood flow leading to fetal hypoxia, rapid labor leading to cervical lacerations or uterine rupture, water intoxication (if oxytocin is given in electrolyte-free solution or at a rate exceeding 20 mL/min) and hypotension, N/v

Answer 43

Assess fundus for evidence of contraction and compare amount of bleeding every 15 mins or according to orders. Monitor VS every 15 mins Monitor- uterine tone to prevent hyperstimulation.

Answer 44

Ante/postpartim

Answer 45

Prescribed routinely as a safeguard against a less-than-optimal diet, enrich with folic acid and iron

Answer 46

Constipation during the first and third trimesters

Answer 47

Iron and folic acid are needed to form new blood cells for the expanded maternal blood volume and to prevent anemia. Iron is essential in folic acid and brain development and in the prevention of maternal anemia. An increase in folic acid is essential before pregnancy and in the earyl weeks of preg to prevent NEUAL TUBE DEFECTS in the fetus 27mg of ferrous iron and 400-800 mcg of folic acid per day are reccommended by the dietary reference intake DRIs.

OB drugs Flashcards

(75 cards)