NURS 316L-A (OB) Medication TEST 2024 SUMMER-
FALL.KEY CONCEPT @WCU GRADED A+
therapeutic class of promethazine (3) - ANSWER: -antiemetics
-antihistamines
-sedative/hypnotics
pharmacologic class of promethazine (1) - ANSWER: phenothiazines
therapeutic action of promethazine (3) - ANSWER: -relief of symptoms of histamine
excess usually seen in allergic conditions
-diminished nausea and vomiting
-sedation
why is promethazine used in the OB setting - ANSWER: used to prevent nausea and
vomiting in pregnancy and can also be used for preoperative sedation
side effects of promethazine (5) - ANSWER: -confusion
-disorientation
-sedation
-neuroleptic malignant syndrome
-constipation
doses of promethazine (3) - ANSWER: -sedation during labor: 50mg IM/IV initially
-antiemetic: 12.5-25mg every 4 hours IM/IV as needed
-PO dose is 25 mg
nursing implications for promethazine (5) - ANSWER: -monitor BP, pulse, respirations
-assess level of sedation and respiratory depression
-monitor for EPS
-assess for fall risk from sedation
-assess nausea and vomiting
therapeutic class of penicillin G (1) - ANSWER: anti infective
pharmacologic class of penicillin G (1) - ANSWER: penicillin
therapeutic action of penicillin G (1) - ANSWER: bactericidal action against
susceptible bacteria (most gram positive)
why is penicillin G used in an OB setting - ANSWER: treatment of syphilis mainly but
also can help with gonorrhea and streptococcal
side effects of penicillin G (7) - ANSWER: -rash
-diarrhea
-epigastric distress
, -nausea and vomiting
-seizures
-steven johnson syndrome
-hypersensitivity reactions
doses for penicillin G (3) - ANSWER: -most infections are 1-5 million units every 4-6
hours IM/IV
-1st and 2nd stage syphilis is 3 million units once
-3rd and 4th stage syphilis is 3 million units 3 times a week
nursing implications for penicillin G (5) - ANSWER: -assess infection
-obtain history for allergy to penicillin
-obtain specimen for C&S
-observe for anaphylaxis
-monitor bowel function and watch for diarrhea
therapeutic class of rhogam/rhophylac (1) - ANSWER: vaccines/immunizing agents
pharmacologic class of rhogam/rhophylac (1) - ANSWER: immune globulins
therapeutic action of rhogam/rhophylac - ANSWER: prevention of antibody response
and hemolytic disease of the newborn in future pregnancies of women who have
conceived a Rh+ fetus and have Rh- blood
why is rhogam/rhophylac given in the OB setting - ANSWER: given to a mother who
has Rh- blood type and the baby has Rh+ blood (the mother's blood will attack the
baby's blood if they mix since the mother does not have + antibody factor and it can
cause serious complications to the baby)
side effects of rhogam/rhophylac (9) - ANSWER: -anemia
-rash
-diarrhea
-nausea and vomiting
-fever
-dizziness
-headache
-arthralgia
-myalgia
doses of rhogam/rhophylac (2) - ANSWER: -following delivery: 300mcg within 72
hours of delivery
-before delivery: 300mcg at weeks 26-28
nursing implications for rhogam/rhophylac (2) - ANSWER: -monitor for S&S of
intravascular hemolysis, anemia, and renal insufficiency
-type and crossmatch of mother and newborn's cord blood must be performed to
determine need for medication
FALL.KEY CONCEPT @WCU GRADED A+
therapeutic class of promethazine (3) - ANSWER: -antiemetics
-antihistamines
-sedative/hypnotics
pharmacologic class of promethazine (1) - ANSWER: phenothiazines
therapeutic action of promethazine (3) - ANSWER: -relief of symptoms of histamine
excess usually seen in allergic conditions
-diminished nausea and vomiting
-sedation
why is promethazine used in the OB setting - ANSWER: used to prevent nausea and
vomiting in pregnancy and can also be used for preoperative sedation
side effects of promethazine (5) - ANSWER: -confusion
-disorientation
-sedation
-neuroleptic malignant syndrome
-constipation
doses of promethazine (3) - ANSWER: -sedation during labor: 50mg IM/IV initially
-antiemetic: 12.5-25mg every 4 hours IM/IV as needed
-PO dose is 25 mg
nursing implications for promethazine (5) - ANSWER: -monitor BP, pulse, respirations
-assess level of sedation and respiratory depression
-monitor for EPS
-assess for fall risk from sedation
-assess nausea and vomiting
therapeutic class of penicillin G (1) - ANSWER: anti infective
pharmacologic class of penicillin G (1) - ANSWER: penicillin
therapeutic action of penicillin G (1) - ANSWER: bactericidal action against
susceptible bacteria (most gram positive)
why is penicillin G used in an OB setting - ANSWER: treatment of syphilis mainly but
also can help with gonorrhea and streptococcal
side effects of penicillin G (7) - ANSWER: -rash
-diarrhea
-epigastric distress
, -nausea and vomiting
-seizures
-steven johnson syndrome
-hypersensitivity reactions
doses for penicillin G (3) - ANSWER: -most infections are 1-5 million units every 4-6
hours IM/IV
-1st and 2nd stage syphilis is 3 million units once
-3rd and 4th stage syphilis is 3 million units 3 times a week
nursing implications for penicillin G (5) - ANSWER: -assess infection
-obtain history for allergy to penicillin
-obtain specimen for C&S
-observe for anaphylaxis
-monitor bowel function and watch for diarrhea
therapeutic class of rhogam/rhophylac (1) - ANSWER: vaccines/immunizing agents
pharmacologic class of rhogam/rhophylac (1) - ANSWER: immune globulins
therapeutic action of rhogam/rhophylac - ANSWER: prevention of antibody response
and hemolytic disease of the newborn in future pregnancies of women who have
conceived a Rh+ fetus and have Rh- blood
why is rhogam/rhophylac given in the OB setting - ANSWER: given to a mother who
has Rh- blood type and the baby has Rh+ blood (the mother's blood will attack the
baby's blood if they mix since the mother does not have + antibody factor and it can
cause serious complications to the baby)
side effects of rhogam/rhophylac (9) - ANSWER: -anemia
-rash
-diarrhea
-nausea and vomiting
-fever
-dizziness
-headache
-arthralgia
-myalgia
doses of rhogam/rhophylac (2) - ANSWER: -following delivery: 300mcg within 72
hours of delivery
-before delivery: 300mcg at weeks 26-28
nursing implications for rhogam/rhophylac (2) - ANSWER: -monitor for S&S of
intravascular hemolysis, anemia, and renal insufficiency
-type and crossmatch of mother and newborn's cord blood must be performed to
determine need for medication
