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Maternity Pharmacolo

QuestionAnswer
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)
Created by: snmartin
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