Maternity

Question 1

Terbutaline

Answer 1

• Bronchodilators: COPD/asthma
• Delays labor by suppressing contractions
• position on side to increase placental perfusion
• SE: tacky, tremors, angina, restlessness

Question 2

Oxytocin

Answer 2

• Induces labor and stimulates muscle contractions
• Helps deliver placenta and PP bleeding
• STOp if contractions longer than 60 seconds and if frequency more than 2-3 minute apart
• AE: uterine rupture and panful contrations

Question 3

Misoprostol

Answer 3

• Prostaglandin
• Cervical ripening agent
• Prevent gastric ulcers
• Contraindicated if getting meds to stimulate contractions, Hx C-section, Abnormal fetal HR or uterine tachysystole
• Oral, vaginally, rectal (PPH only)

Question 4

Nifedipine

Answer 4

CC blocker

• Delays later by suppressing contractions
• Monitor BP

Question 5

Magnesium sulfate

Answer 5

• CNS depressant
• Antiseizure
• Preventing/controlling seizures in moms with preeclampsia/ecplampsia
• Prevent preterm labor
• Antidote: Calcium gluconate
• Always IV infusion
• Magnesium toxicity if: decreased TDR, rasp depression, UO < 30mL/hr

Question 6

Estrogen/Progesterone

Answer 6

• Contraceptives
• Hormone replacement
• Risk for Blood clots
• No smoking