Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NCLEX Pharm > Maternity > Flashcards

Maternity Flashcards

You may prefer our related Brainscape-certified flashcards:
NCLEX-PN® flashcards NCLEX-RN® flashcards
1
Q

What are Tocolytics?

- Uses? (2)

A

Medications that produce uterine relaxation

  • Stops contractions
  • Prevent preterm birth
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Adverse Effects of Tocolytics

A

Depressed respiration, depressed reflexes, hypotension, muscle weakness, flushing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Interventions for Tocolytics

A

Position the client on her side to enhance placental perfusion
Monitor VS of both Mom and Babe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is Magnesium Sulfate?

- Uses (2)

A

It is a CNS depressant and smooth muscle relaxant.

  • Stops preterm labour
  • Prevents and controls seizures in pre-eclampsia and eclampsia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Adverse Effects of Mag Sulf.

A

Respiratory depression, depressed reflexes, flushing, hypotension, muscle weakness, decreased urine output

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Interventions for Mag Sulf.

A

MUST monitor kidney function and mag levels to avoid toxicity.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are Betamethasone and Dexamethasone?

- Use

A

Corticosteroids that accelerate fetal lung maturity via increasing surfactant production.
- For clients in preterm labour between 28-32 weeks gestation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Adverse Effect for corticosteroids

A

Decrease resistance to infection, pulmonary edema, elevated blood glucose in clients with diabetes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are Opioids used for?

Which opioids are used here? (6)

A

To relieve moderate to severe pain associated with labour

hydromorphone, meperidine, fentanyl, sufentanil, butorphanol tartrate, nalbuphine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Antidote for Magnesium Sulfate?

A

Calcium Gluconate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Adverse Effects of Opioids

A

Dizziness, nausea, vomiting, sedation, decreased BP, decreased resps, diaphoresis, urine retention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Interventions for Opioids

A

Monitor VS (especially resp status), monitor fetal HR,

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are Misoprostol and Dinoprostone?

- Uses (2)

A

Prostaglandins used to ripen cervix and stimulate contractions.

  • Preinduction cervical ripening
  • Induction of labour
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Adverse Effects of prostaglandins

A

GI effects (diarrhea, nausea, vomiting), fever, chills, flushing, headache. hypotension, hyperstimulation of the uterus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Interventions for prostaglandins

A

Have the client void before admin and then have her maintain a supine with lateral tilt or side-lying position for 30-60mins after admin.
Monitor VS, fetal HR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Antidote for opioids

A

Naloxone

17
Q

What are Oxytocics?

- Uses (3)

A

Simulates smooth muscle of the uterus, promotes milk letdown

  • Induces labour
  • Controls post-partum bleeding
18
Q

Adverse Effects of Oxytocin

A

Dysrhythmias, changes in BP, uterine rupture, water intoxication, and uterine hypertonicity

19
Q

Interventions for Oxytocin

A

Monitor VS q15mins
Monitor frequency, duration and force of contraction q15mins
Monitor fetal heart q15 mins

20
Q

What 6 actions do you take if pt develops uterine hypertonicity? (secondary to oxytocin admin)

A
  1. Stop oxytocin infusion
  2. Turn client on her side
  3. Increase the flow of the IV fluid (not the oxytocin)
  4. Administer O2 8-10L/min
  5. Assess VS of Mom and Babe
  6. Document event, actions taken and response
21
Q

What is Methylergonovine maleate (Ergot Alkaloid) and Carboprost tromethamine?
- Uses (2)

A

Directly stimulates uterine muscle, increases the force and frequency of contractions

  • Controls postpartum haemorrhage
  • Controls postabortal haemorrhage
22
Q

Adverse Effects of Ergot Alkaloid

Most major complication being?

A

Nausea, uterine cramping, bradycardia, dysrhythmias, MI, HTN

Can produce arterial vasoconstriction and vasospasm of the coronary arteries

23
Q

Major contraindications of Ergot Alkaloid

A

Not to be used during pregnancy, and in clients with significant cardiovascular disease, peripheral vascular disease, or HTN

24
Q

What is Rh immune globulin used for?

A

Prevents anti-Rh antibody formation in Rh-negative patients

25
Q

Interventions for Rh immune globulin

A

Medication is most effective when administered at 28 weeks and again within 72 hrs of delivery

26
Q

What is the Rubella vaccine used for?

A

Given before hospital discharge to non-immune post-partum patients

27
Q

Adverse Effect of Rubella vaccine

A

Transient rash, hypersensitivity

28
Q

Contraindication for Rubella vaccine

A

Allergy to egg

29
Q

What are lung surfactants?

- What is it used for?

A

Replenish surfactant and restore surface activity to lungs.

- Prevents and treats respiratory distress syndrome in premature newborns

30
Q

Adverse Effects of surfactant

A

transient bradycardia, oxygen desaturation, mucus plug, endotracheal reflux

31
Q

Interventions for surfactant

A

Instill through the endotracheal tube and avoid suctioning for at least 2 hours

32
Q

What is opthalmic erythromycin used for?

A

Preventative eye treatment against ophthalmia neonatorum from Neisseria gonorrhoeae or Chlamydia trachomatis bacteria

33
Q

What is Phytonadione

- What is it used for?

A

Coagulation factors that are synthesized in the liver depend on phytonadione (vitamin K) but it is not produced until intestinal bacteria are present.
- prophylaxis and treatment of hemorrhagic disease of the newborn

34
Q

Adverse Effect of Vitamin K

A

Hyperbilirubinemia

35
Q

What is the Hepatitis B vaccine used for?

A

Given to the newborn before discharge to prevent hepatitis B

36
Q

Adverse Effect of Hepatitis B vaccine

A

Rash, fever, erythema, pain at injection site

37
Q

Interventions for Hepatitis B Vaccine

A

If infant born to mother positive for hepatitis surface antigen, hepatitis immune globulin as well a hepatitis vaccine should be given within 12 hours of birth.

NCLEX Pharm (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions