NSG 3500 TEST QUESTIONSAND ANSWERS A+
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Oxytocin (Pitocin)
Stimulates uterine smooth muscle and produces contractions similar to those during
labor. Given 10 units IM OR 10-40 units in 1,000cc crystalloid IV fluid (LR or NS).
Contraindications is hypersensitivity.
Oxytocin (Pitocin): Nursing Considerations
Monitor uterine response. DO NOT administer a bolus of undiluted oxytocin, because it
can cause hypotension and cardiac arrhythmias. Consider administrations of pain
medication for uterine cramping.
Methylergonovine Maleate (Methergine)
Ergot alkaloid causes uterine contraction by stimulating uterine and vascular smooth
muscles. Given 0.1-0.2 mg IM q2-q4, followed by 0.2 mg PO q4-6h x 24 hours (for 6
doses). Contraindications are hypersensitivity. History of or current elevation of blood
pressure.
Methylergonovine Maleate (Methergine): Nursing Considerations
Keep refrigerated. DO NOT add it to IV solutions or mix in a syringe with other
medications. Take precautions to prevent inadvertent administrations to the newborn.
CANNOT have if they are preeclampsia. So will need to get Hemabate instead. Call MD
if patients complain of headache or dizziness.
Misoprostol (Cytotec)
Prostaglandin analogue, stimulates powerful contractions of the myometrium. 800-1000
mcg RECTALLY (single dose) Contraindications are hypersensitivity to prostaglandins.
Misoprostol (Cytotec) Nursing Considerations
Stable at room temperature. Rectal absorption is likely slower than IV medication.
Cannot give if there is a 3rd or 4th degree laceration or episiotomy.
Carboprost Tromethamine (Hemabate)
Prostaglandin analogue. Stimulates contractions of the myometrium. 0.25 mg (250mcg)
IM or directly into the uterus (by MD or CNM) q 15-90 min 8 doses maximum.
Contraindications are for people who have asthma, hepatic, renal, and cardiac disease.
Carboprost Tromethamine (Hemabate) Nursing Considerations
Do not administer if patient demonstrates shock because it will not be well absorbed.
Keep refrigerated. This medication is VERY expensive. Can cause major diarrhea.
Dinoprostone (Prostin E2)
Prostaglandin analogue, stimulates powerful contractions of the myometrium. 20 mg
suppository vaginally or rectally q2h. Contraindications are hypersensitivity to
prostaglandins. AVOID in severe hypotension.
Dinoprostone (Prostin E2) Nursing Considerations
Monitor uterine response. If vaginal bleeding is brisk, the use of vaginal suppositories is
not likely to be effective. Fever is common. Stored frozen, it must be thawed to room
temperature.
Postpartum Recovery Medication: Colace
, Docusate sodium (stool softener). 50-500 mg PO until bowel movements are normal.
Used for constipation. Not contraindicated in breastfeeding.
Postpartum Recovery Medication: Dulcolax
Bisacodyl. Stimulant laxative. 10-30 mg PO until bowel movements are normal. Not
contraindicated in breastfeeding moms. Used for constipation.
Postpartum Recovery Medication: Ibuprofen
NSAIDS (Motrin) 400 mg PO every 4-6 hours PRN for pain. Not contraindicated in
breastfeeding moms. Used got treatment of mild to moderate pain.
Postpartum Recovery Medication: Opioids (oxycodone/acetaminophen)
Opioid Analgesics. Percocet (oxycodone & acetaminophen) Takes 1-2 tablets every 4-6
hours PRN for pain. Not contraindicated in breastfeeding mom. Used for treatment of
moderate to severe pain.
What should be tell our moms about pain?
To encourage moms to premedicate before trying to take care of their baby and to tell
the nurse when they want it.
RhoGam Vaccinations
Moms MUST be Rh(D)negative and the baby MUST be Rh(D)positive. One time
dosage of 300 mcg administered IM between 3 to 72 hours after delivery of the infant.
Given in the deltoid muscle. Explain to the mom that the purpose of this medication is to
protect future Rh(D) positive infants, prior to administering, obtain a signed consent
form if required by the hospital. Will be given to mom at 28 weeks of pregnancy and 72
hours after the termination of a pregnancy of 13 weeks or more gestation.
MMR Vaccine
If nonimmune or antibody negative, MMR should be given. Need to educate mom that
she cannot get pregnant for 4 weeks or 1 month. It is safe for moms who are going to
breastfeed. Need to make sure that we get a consent sign for this. This should be given
before discharge from the hospital. Educate that mom may briefly experience rubella
type symptoms such as lymphadenopathy, arthralgia, and a low grade fever
Tdap Vaccine
A tetanus and diphtheria booster vaccination is indicated during pregnancy for a woman
who has never received a Tdap vaccine or if 10 years have elapsed since immunization.
If pregnant it should be administered during the late second or third trimester (AT
LEAST AFTER 20 weeks gestation). As for dad it is encourage as well due to having
close contact with infant.
Witch Hazel (Tucks)
Hemorrhoid care, apply to the perineal area after sitz bath or perineum care. Use on
skin to to relieve itching, burning, irritation associated with hemorrhoids.
Lidocaine Spray
Topical Anesthetic. Spray to perineal area after sitz bath or perineum care. Used on
skin to relieve pain and itching.
Postpartum Blues (Maternity Blues)
Is considered a normal reaction. Symptoms include tearfulness, mood swings,
insomnia, fatigue, anxiety, difficulty concentrating, irritability, and poor appetite.
Symptoms begin during the first few postpartum days, peaks at five days then subside
around 10 weeks. This does not affect the way the mom cares for the infant. If they last
longer need to call the provider.
GRADED.Buy Quality Materials!
Oxytocin (Pitocin)
Stimulates uterine smooth muscle and produces contractions similar to those during
labor. Given 10 units IM OR 10-40 units in 1,000cc crystalloid IV fluid (LR or NS).
Contraindications is hypersensitivity.
Oxytocin (Pitocin): Nursing Considerations
Monitor uterine response. DO NOT administer a bolus of undiluted oxytocin, because it
can cause hypotension and cardiac arrhythmias. Consider administrations of pain
medication for uterine cramping.
Methylergonovine Maleate (Methergine)
Ergot alkaloid causes uterine contraction by stimulating uterine and vascular smooth
muscles. Given 0.1-0.2 mg IM q2-q4, followed by 0.2 mg PO q4-6h x 24 hours (for 6
doses). Contraindications are hypersensitivity. History of or current elevation of blood
pressure.
Methylergonovine Maleate (Methergine): Nursing Considerations
Keep refrigerated. DO NOT add it to IV solutions or mix in a syringe with other
medications. Take precautions to prevent inadvertent administrations to the newborn.
CANNOT have if they are preeclampsia. So will need to get Hemabate instead. Call MD
if patients complain of headache or dizziness.
Misoprostol (Cytotec)
Prostaglandin analogue, stimulates powerful contractions of the myometrium. 800-1000
mcg RECTALLY (single dose) Contraindications are hypersensitivity to prostaglandins.
Misoprostol (Cytotec) Nursing Considerations
Stable at room temperature. Rectal absorption is likely slower than IV medication.
Cannot give if there is a 3rd or 4th degree laceration or episiotomy.
Carboprost Tromethamine (Hemabate)
Prostaglandin analogue. Stimulates contractions of the myometrium. 0.25 mg (250mcg)
IM or directly into the uterus (by MD or CNM) q 15-90 min 8 doses maximum.
Contraindications are for people who have asthma, hepatic, renal, and cardiac disease.
Carboprost Tromethamine (Hemabate) Nursing Considerations
Do not administer if patient demonstrates shock because it will not be well absorbed.
Keep refrigerated. This medication is VERY expensive. Can cause major diarrhea.
Dinoprostone (Prostin E2)
Prostaglandin analogue, stimulates powerful contractions of the myometrium. 20 mg
suppository vaginally or rectally q2h. Contraindications are hypersensitivity to
prostaglandins. AVOID in severe hypotension.
Dinoprostone (Prostin E2) Nursing Considerations
Monitor uterine response. If vaginal bleeding is brisk, the use of vaginal suppositories is
not likely to be effective. Fever is common. Stored frozen, it must be thawed to room
temperature.
Postpartum Recovery Medication: Colace
, Docusate sodium (stool softener). 50-500 mg PO until bowel movements are normal.
Used for constipation. Not contraindicated in breastfeeding.
Postpartum Recovery Medication: Dulcolax
Bisacodyl. Stimulant laxative. 10-30 mg PO until bowel movements are normal. Not
contraindicated in breastfeeding moms. Used for constipation.
Postpartum Recovery Medication: Ibuprofen
NSAIDS (Motrin) 400 mg PO every 4-6 hours PRN for pain. Not contraindicated in
breastfeeding moms. Used got treatment of mild to moderate pain.
Postpartum Recovery Medication: Opioids (oxycodone/acetaminophen)
Opioid Analgesics. Percocet (oxycodone & acetaminophen) Takes 1-2 tablets every 4-6
hours PRN for pain. Not contraindicated in breastfeeding mom. Used for treatment of
moderate to severe pain.
What should be tell our moms about pain?
To encourage moms to premedicate before trying to take care of their baby and to tell
the nurse when they want it.
RhoGam Vaccinations
Moms MUST be Rh(D)negative and the baby MUST be Rh(D)positive. One time
dosage of 300 mcg administered IM between 3 to 72 hours after delivery of the infant.
Given in the deltoid muscle. Explain to the mom that the purpose of this medication is to
protect future Rh(D) positive infants, prior to administering, obtain a signed consent
form if required by the hospital. Will be given to mom at 28 weeks of pregnancy and 72
hours after the termination of a pregnancy of 13 weeks or more gestation.
MMR Vaccine
If nonimmune or antibody negative, MMR should be given. Need to educate mom that
she cannot get pregnant for 4 weeks or 1 month. It is safe for moms who are going to
breastfeed. Need to make sure that we get a consent sign for this. This should be given
before discharge from the hospital. Educate that mom may briefly experience rubella
type symptoms such as lymphadenopathy, arthralgia, and a low grade fever
Tdap Vaccine
A tetanus and diphtheria booster vaccination is indicated during pregnancy for a woman
who has never received a Tdap vaccine or if 10 years have elapsed since immunization.
If pregnant it should be administered during the late second or third trimester (AT
LEAST AFTER 20 weeks gestation). As for dad it is encourage as well due to having
close contact with infant.
Witch Hazel (Tucks)
Hemorrhoid care, apply to the perineal area after sitz bath or perineum care. Use on
skin to to relieve itching, burning, irritation associated with hemorrhoids.
Lidocaine Spray
Topical Anesthetic. Spray to perineal area after sitz bath or perineum care. Used on
skin to relieve pain and itching.
Postpartum Blues (Maternity Blues)
Is considered a normal reaction. Symptoms include tearfulness, mood swings,
insomnia, fatigue, anxiety, difficulty concentrating, irritability, and poor appetite.
Symptoms begin during the first few postpartum days, peaks at five days then subside
around 10 weeks. This does not affect the way the mom cares for the infant. If they last
longer need to call the provider.
