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Maternity Pharmacolo
| Question | Answer |
|---|---|
| B Vitamain used to prevent neural birth defects in the brain and spine | Folic acid |
| How long can a women planning to become pregnant can receive the rubella vaccine | 1-3 months before pregnancy |
| Rhogam is given to | Rh- mom to protect their baby who is RH+ |
| What ethnicity of women are born with low levels of Folic Acid | Hispanic and Latinos |
| Between how many weeks of pregnancy will a women will receive Rhogam | 26-28wks |
| Rhogam will be administered within how many hours after pregnancy | 72hrs |
| For the first 12 weeks of pregnancy how much folic acid is recommended daily | 400mcg |
| Foods high in folic acid | Asparagus, broccoli, spinach, dark leafy vegetables, eggs, peas, beans |
| How is Rhogam administered | IM in the deltoid muscle |
| Affects of Fentanyl on the blood pressure | Can cause hypotension (monitor patient and fetal closely) |
| Fentanyl is administered | Through epidural catheter by Anesthesiologist |
| Mom must be dilated at least how many cm before given epidural | 4cm |
| Antidote has a short half life, may need to be given repeatedly | Narcan |
| Assess BP and fetal heart rate every 5 mins when given | Fentanyl |
| Blocks effects on the brain by opiates and restores breathing | Narcan (naxolene) |
| Given to prevent seizures in pre- eclampsia, eclampsia and to stop preterm labor, decreases chances of cerebral palsy | Magnesium sulfate |
| Antidote for magnesium sulfate | Calcium gluconate |
| Uses of this drug includes peptic ulcers and pre induction medication | Misoprostol (cytotec) |
| Misoprostol can be administered how | PO, subl, buccal, vaginally |
| Monitor for absent deep tendon reflexes when giving | Magnesium sulfate |
| Magnesium levels above 12mmol/l can cause | Respiratory paralysis |
| Magnesium levels greater than 9 mmol/l can cause | Loss of deep tendon reflexes |
| Can infant receive Naloxone | Yes |
| Rhogam is administered | After abortion Amninocentesis After abdominal trauma If any bleeding during pregnancy Given every pregnancy |
| Fentanyl nursing Interventions | Monitor for full bladder which can slow contractions, explain they will not be able to feel waist down (making it hard to push) |
| Side effects of magnesium sulfate | Absent DTR Respiratory depression Pulmonary edema Cardiac Arrhythmias Flushing Dry mouth Nausea Blurred vision |
| Assess respiratory rate when giving | Narcan |
| Contradictions of cervical riping agents | Previous c-section Uterine surgery History of difficult labor Mulipara pregnancy Hypersensitivity Disorders Fetal distress |
| Can cause abortion | Cervical riping agents |
| Can you believe we're in Mother-Baby??!! | 💃🏽💃🏽💃🏽 |
| Made by the pituitary glands, helps contractions start | Oxytocin (pitocin) |
| Adverse effects of oxytocin | Uterine rupture NV intense and frequent contractions |
| Nursing implications for Misoprostol (cytotec) | Bedrest 1-2 hrs Monitor for uterine contractions Monitor VS and fetal HR |
| Do not start this drug until after cervical riping agents are administered | Oxytocin |
| Contradictions for Oxytocin | Fetal distress Hydramnios Partial placenta previa |
| Oxytocin is administered how | Continuous IV fusion (contractions will usually start within 3p mins |
| Stop administration if contractions are too frequent, can cause hypoxia in fetus | Oxytocin |
| Would not be given if membranes has ruptured | Dinoprostone |
| Given vaginally suppository removed when labor starts or after 12hrs | Dinoprostone (cervidil) |
| Adverse effects of Cervidil | Hypotension Urine rupture Vaginitis (check discharge) Fever Diarrhea Headache Back pain |
| Use for pregnancy termination | Dinoprostone (cervidil) |
| Causes uterine tachysystole (increased uterine contractions) | Misoprostol (ctyotec) |