Maternity Meds for HESI Verified

Maternity Meds for HESI Verified What is the group of medications that is given to produce uterine relaxation and suppress uterine activity in order to prevent preterm birth? Ans- Tocolytics What are the examples of tocolytics? Ans- Indomethacin Magnesium Sulfate Nifidipine Terbulatine What is Magnesium Sulfate used for? Ans- - Stops preterm labor - Preventing and controlling seizures in preeclamptic/eclamptic episoes What is the antidote for Magnesium Sulfate? Ans- Calcium Gluconate Adverse Effects of Magnesium Sulfatexx Ans- - Depressed CNS - Decreased Urine Output - Decreased DTRs - Decreased Respirations Nursing Considerations for Mag Sulfate Ans- - hold the dose if RR 12 & urine output 100 ml/h - DTRs are absent - therapeutic range 4-7.5 mEq/L - 8 mEq/L or above = toxicity Implication of corticosteroid use in pregnancy? Ans- - used in preterm labor to increased the production of surfactant - takes 48 hours to start functioning - always give tocolytics first, and then corticosteroids Examples of corticosteroids Ans- - Betamesathone - Dexamesathone What is the use of prostaglandins? Ans- - cervical ripening - induction of labor - induction of abortion Examples of prostoglandins Ans- - misoprostol [cytotec] - dinoporstone [cervidil vaginal insert; prepidil gel] What is Oxytocin [Pitocin] given for? Ans- - induces labor - controls postpartum bleeding anf uterine tone - promotes milk letdown - manages an incomplete abortion *pitocin is given w/ caution to pt w/ HTN Steps to take if there is hypertonic contractions or non-reassuring FHR due to Pitocin infusion Ans- - stop pitocin - turn the client on the side - increase NS infusion - administer O2 via face mask around 8L-10L - asses VS and FHR - call HCP and document ***or if there is another nurse in the room tell her to call HCP right after you are turning a pt to the side Other uterine stimulants for postpartum hemorrhage, uterine atony and uterine involution Ans- - methylergonovine maleate [methergine] - prostoglandin F2 [hemabate] Nursing implication about Methergine Ans- - take BP prior to administration - never give to client with BP 140/90 and above Nursing Implication about Hemabate Ans- - never give to a pt with asthma What is RhoGam used for? Ans- To prevent isoimmunization in Rh-negative clients who are negative for Rh antibodies and can be potentially exposed to Rh-postive red blood cells by: - amniocentesis - chorionic villus sampling - transfusion - termination of pregnancy - abdominal trauma - bleeding during pregnancy or birth How to give RhoGam Ans- - at 28 weeks of gestation - 72 hours after delivery Rubella Vaccine Ans- - given to non-immune postpartum client - !!! do not give to pt who have allergies to EGGS - teaching: client should avoid pregnancy for 1 to 3 months = so use contraception - teaching: do not give to a client if there is an immunocompromized family member Eye prophylaxis in newborn Ans- - erythromycin - tetracycline - used for prophylaxis of bacteria that is associated with Chlamydia and Gonorrhea What is Vit K given for? Ans- - prophylaxis and treatment of hemorrhagic disease in newborn - given IM to lateral aspect of the middle third of the vastus laterali