MCH Exam 1
1. What are tocolytics used for?
- used to stop preterm labor
relax uterus
2. What medications are considered tocolytics?
- Magnesium sulfate
Terbutaline
Nifedipine
3. Magnesium Sulfate is given when?
- first thing given to try and stop contractions
4. Side effects of Magnesium Sulfate
- CNS and respiratory Depression
5. What is the antidote for Magnesium Sulfate?
- calcium gluconate
6. Nursing Interventions for Magnesium Sulfate
- -resps should be at least 16/min before each dose
-must verify with another RN
-infuse via pump to control dosing
-assess respiratory status/respirations frequently
-strict bedrest
,7. Causes of IUGR-intrauterine Growth Restriction
- lack of adequate nutrition
maternal vascular- diabetes, HTN, obesity
smoking
8. S/S of IUGR
- no obvious signs
can measure fundal height to know
9. What is Betamethasone used for?
- Used to enhance lung maturity in the fetus if preterm delivery is likely
10. Interventions for Betamethasone
- -administer 2 does 24 hours apart
11. What is Vitamin K used for in newborns?
- blood clotting
(given in vastus lateralis
12. What are oxytocic's used for
- promote contractions
13. What meds are considered oxytocic?
- pitocin
, 14. What is pitocin used for
- stimulate uterine contractions and induce onset labor
15. What is methergine used for
- Uncontrolled bleeding at or during child birth
help placenta be delivered
16. What is misoprostol used for
- for elective abortion
stimulates uterine contractions
17. What is the Rhogam shot for
- prevents mom (Rh negative) from building antibodies so that future pregnancies don’t
fight off babies
18. When do Rh Negative mothers receive Rhogam shot
- 28 weeks
19. Current Trends/Resources Influencing MCH
- community based services for women and children
20. Fundal Heights- 20 weeks
- umbilicus
21. Fundal heights- 36 weeks
1. What are tocolytics used for?
- used to stop preterm labor
relax uterus
2. What medications are considered tocolytics?
- Magnesium sulfate
Terbutaline
Nifedipine
3. Magnesium Sulfate is given when?
- first thing given to try and stop contractions
4. Side effects of Magnesium Sulfate
- CNS and respiratory Depression
5. What is the antidote for Magnesium Sulfate?
- calcium gluconate
6. Nursing Interventions for Magnesium Sulfate
- -resps should be at least 16/min before each dose
-must verify with another RN
-infuse via pump to control dosing
-assess respiratory status/respirations frequently
-strict bedrest
,7. Causes of IUGR-intrauterine Growth Restriction
- lack of adequate nutrition
maternal vascular- diabetes, HTN, obesity
smoking
8. S/S of IUGR
- no obvious signs
can measure fundal height to know
9. What is Betamethasone used for?
- Used to enhance lung maturity in the fetus if preterm delivery is likely
10. Interventions for Betamethasone
- -administer 2 does 24 hours apart
11. What is Vitamin K used for in newborns?
- blood clotting
(given in vastus lateralis
12. What are oxytocic's used for
- promote contractions
13. What meds are considered oxytocic?
- pitocin
, 14. What is pitocin used for
- stimulate uterine contractions and induce onset labor
15. What is methergine used for
- Uncontrolled bleeding at or during child birth
help placenta be delivered
16. What is misoprostol used for
- for elective abortion
stimulates uterine contractions
17. What is the Rhogam shot for
- prevents mom (Rh negative) from building antibodies so that future pregnancies don’t
fight off babies
18. When do Rh Negative mothers receive Rhogam shot
- 28 weeks
19. Current Trends/Resources Influencing MCH
- community based services for women and children
20. Fundal Heights- 20 weeks
- umbilicus
21. Fundal heights- 36 weeks
