NURS 371 PHARMACOLOGY QUESTIONS AND ANSWERS
LATEST UPDATE ALREADY GRADED A+
What are the 7 rights of medication administration?
1.Patient
2.Drug
3.Dose
4.Time
5.Route
6.Right to documentation
7.Right to refuse treatment
Also check for right situation
How important are prenatal vitamins and when should a pregnant mother start taking them?
Pregnant women should take a vitamin and mineral supplement daily
Ideally, should begin before conception
Why do pregnant mothers take folic acid?
Essential before pregnancy and in the early weeks of pregnancy
Inadequate intake of folic acid (folate) has been associated with neural tube defects (anencephaly &
spinal bifida)
Given to increase maternal RBC formation during pregnancy
What is the recommended dose for folic acid?
600 micrograms daily (0.6mg) for pregnant women
400 for nonpregnant
Which foods are rich in folic acid?
beans, whole wheat, broccoli
What is the generic name for Rho(D) Immune Globulin and what is its action?
RhoGAM
Suppresses immune response; to prevent the mother from making antibodies against Rh+ blood
Given only to Rh NEGATIVE mothers
When is RhoGAM routinely administered?
At 28 weeks gestation as routine antepartum prevention: Indirect Coombs maternal serum blood work
Again within 72 hours after Birth Direct Coombs is done on cord blood; only given if indicated
What needs to be done before giving RhoGAM?
, Blood work is done at 28 weeks (Indirect Coombs), just looking to see if mom is sensitized
After Birth, cord blood is taken; lab that is done is called Direct Coombs - determine baby's blood type
and again looks for sensitization
NOTE: Rhogam is not indicated if mom is already sensitized or if baby is Rh negative on Direct Coombs
What is the dose and rout for RhoGAM?
300 mcg IM deltoid or anterolateral portion of thigh
Not gluteal
(Can also be given I.V. over 3-5 min)
When do I give RhoGAM?
At 28 weeks if mom is Rh-neg
Again 72 hours after delivery if baby is Rh-pos or if mom is unsensitized
What are tocolytic agents and when in pregnancy are they given?
Given in the antenatal stage of pregnancy and are used to suppress or inhibit myometrial contractions of
the uterus.
What is the generic name for Nifedipine and what is its action?
Procardia
Inhibits calcium ion movement into muscle cells, inhibits uterine activity to arrest preterm labor
Prevents smooth muscle contraction
What are some side effects of Procardia?
H/A, dizziness, flushed skin, hypotension, nausea
Why might this medication give the patient cause the patient to have hypotension?
Related to arterial vasodilation which can drop the blood pressure, need to check blood pressure before
and after admin
What is the dose and rout of Procardia?
10-20mg PO Q 3-6hrs until ctx stop; followed by long-acting formula of 30-60mg Q 8-12 hr while steroids
are given
What meds should Procardia not be used in conjunction with and why?
Not used with Magnesium, or given before or after Terbutaline because of heart effects
Why do pregnant patients receive Magnesium Sulfate?
Preterm Labor (as a tocolytic)-to decrease frequency & intensity of UC's by relaxing the smooth muscles
of the uterus
Preeclampsia - CNS depressant
What is Preeclampsia?
LATEST UPDATE ALREADY GRADED A+
What are the 7 rights of medication administration?
1.Patient
2.Drug
3.Dose
4.Time
5.Route
6.Right to documentation
7.Right to refuse treatment
Also check for right situation
How important are prenatal vitamins and when should a pregnant mother start taking them?
Pregnant women should take a vitamin and mineral supplement daily
Ideally, should begin before conception
Why do pregnant mothers take folic acid?
Essential before pregnancy and in the early weeks of pregnancy
Inadequate intake of folic acid (folate) has been associated with neural tube defects (anencephaly &
spinal bifida)
Given to increase maternal RBC formation during pregnancy
What is the recommended dose for folic acid?
600 micrograms daily (0.6mg) for pregnant women
400 for nonpregnant
Which foods are rich in folic acid?
beans, whole wheat, broccoli
What is the generic name for Rho(D) Immune Globulin and what is its action?
RhoGAM
Suppresses immune response; to prevent the mother from making antibodies against Rh+ blood
Given only to Rh NEGATIVE mothers
When is RhoGAM routinely administered?
At 28 weeks gestation as routine antepartum prevention: Indirect Coombs maternal serum blood work
Again within 72 hours after Birth Direct Coombs is done on cord blood; only given if indicated
What needs to be done before giving RhoGAM?
, Blood work is done at 28 weeks (Indirect Coombs), just looking to see if mom is sensitized
After Birth, cord blood is taken; lab that is done is called Direct Coombs - determine baby's blood type
and again looks for sensitization
NOTE: Rhogam is not indicated if mom is already sensitized or if baby is Rh negative on Direct Coombs
What is the dose and rout for RhoGAM?
300 mcg IM deltoid or anterolateral portion of thigh
Not gluteal
(Can also be given I.V. over 3-5 min)
When do I give RhoGAM?
At 28 weeks if mom is Rh-neg
Again 72 hours after delivery if baby is Rh-pos or if mom is unsensitized
What are tocolytic agents and when in pregnancy are they given?
Given in the antenatal stage of pregnancy and are used to suppress or inhibit myometrial contractions of
the uterus.
What is the generic name for Nifedipine and what is its action?
Procardia
Inhibits calcium ion movement into muscle cells, inhibits uterine activity to arrest preterm labor
Prevents smooth muscle contraction
What are some side effects of Procardia?
H/A, dizziness, flushed skin, hypotension, nausea
Why might this medication give the patient cause the patient to have hypotension?
Related to arterial vasodilation which can drop the blood pressure, need to check blood pressure before
and after admin
What is the dose and rout of Procardia?
10-20mg PO Q 3-6hrs until ctx stop; followed by long-acting formula of 30-60mg Q 8-12 hr while steroids
are given
What meds should Procardia not be used in conjunction with and why?
Not used with Magnesium, or given before or after Terbutaline because of heart effects
Why do pregnant patients receive Magnesium Sulfate?
Preterm Labor (as a tocolytic)-to decrease frequency & intensity of UC's by relaxing the smooth muscles
of the uterus
Preeclampsia - CNS depressant
What is Preeclampsia?
