Maternity Flashcards
Clomiphene citrate
Induces ovulation by changing hormonal effects on the ovary. Alters estrogen and stimulating follicular growth to produce a mature ovum
estrogen
Nausea; long term- visual disturbances, tinnitus.
Oxytocin
Monitor FHR, contraction pattern (less than 5 in 10 min, less than 2 min long), v/s (causes hypotension), InO, and cervical dilation.
Ritodrine hydrochloride
Stop uterus from contracting in preterm labor
Magnesium sulfate
Preeclampsia. Anticonvulsant, sedative, vasodilator. Check DTRs. Used with Apresoline if diastolic >100 (tachycardia)
Terbutaline
Tocolytic. Stops premature labor. Inc pulse and hyperactivity
Apresoline (hydralazine)
Preeclampsia. Lowers BP > 100 diastolic. In combination with mag sulfate
Penicillin
Mastitis. Ok with breastfeeding. Or erythromycin after BF. Prophylaxis for GBS or clindamycin
Erythromycin
Gtts or ointment. For eye prophylaxis for neisseria gonococcus. Also for chlamydia.
Phytonadione
Promotes formation of clotting factors vit K in vastus lateralis muscle
Rho (D) immunoglobulin
Given 28 wks and 72 hrs after birth. Given with any bleeding episode. Destroys fetal cells that got in mothers blood; it has to do this before antibodies can be formed
Methotrexate
Given to mom to stop the growth of the embryo to save the Fallopian tube in ectopic pregnancy. If doesn’t work a laparoscopic incision will be made into the tube and the embryo will be removed. Entire tube may have to be removed
Betamethasone
Stimulates surfactant production in the alveolar spaces and this causes less tension when the infant breathes. Given 24-34 wks gestation.
Vidarabine
Tx for hsv. acyclovir also.