Medication List

Question 1

Ampicillin

Answer 1

IV: 2 gm initial and then 1-2 gm Q4 until birth

treats Group B Strep in mother to prevent transfer to fetus during delivery

causes GI disturbance and allergic rxn

Question 2

Betamethasone

Answer 2

IM: 12 mg Q24 hours x 2 doses

induces fetal lung maturation between 24-34 weeks gestation at risk for premature delivery

causes sodium retention and elevated BP

Question 3

Calcium Gluconate

Answer 3

IV push: 1-2 g

treats high magnesium levels

causes N/V and constipation

Question 4

Cytotec

Answer 4

vaginal: 1/4 of 25 mg tablet for labor
rectal: 800-1000 mcg for PP hemorrhage

induces labor or stops PP hemorrhage

causes cramping and uterine hyperstimulation

Question 5

Hemabate

Answer 5

IM: 250 mcg, max is 2 mg

acts as prostaglandin to control bleeding after birth by stimulating smooth muscle & uterine contractions

causes H/A and N/V

Question 6

Magnesium Sulfate

Answer 6

IV: 4-6 gm bolus then 1-3 gm p/hour x12-24 hours

acts as a preterm neuro protectant for fetus by decreasing CNS irritability/seizures and relaxes uterus to stop preterm contractions in pre-eclampsia conditions

causes decreased reflexes and hypotension

Question 7

Methergine

Answer 7

IM: 0.25 mg
PO: 0.2 mg TID-QID up to 1 week

stimulates uterine contractions to control bleeding after birth

causes increased BP

Question 8

Pitocin/Oxytocin

Answer 8

IV: 20-60 units in 500-1000 mL
IM: 10 units

stimulates uterus contractions for labor and given PP to firm uterus to prevent hemorrhaging

causes hyperstimulation and uterine rupture

Question 9

Terbutaline (Brethine)

Answer 9

SQ: 0.25 mg
PO: 2.5-5 mg Q4-6 hours

relaxes uterus in preterm labor or with a tetanic uterine contraction during induction/fetal distress

causes tachycardia in mother/fetus and is uncomfortable

Question 10

Duramorph (Morphine)

Answer 10

SC/IV/IM/epidural/intrathecal: 10 mg every 4 hours PRN initially

given as epidural narcotic analgesic for pain relief without loss of motor/sensory/sympathetic function

causes sedation and constipation

Question 11

Naloxone (Narcan)

Answer 11

SC/IM: 0.4 mg Q2-3 mins PRN

treats opioid overdose by occupying opiate receptors

causes tachycardia and N/V

Question 12

Fentanyl

Answer 12

IV: 100 mg

treats labor pains by increasing pain threshold and altering pain perception

causes apnea and respiratory depression

Question 13

Ketoralac

Answer 13

PO: 10 mg Q6 hours
IV: 30 mg
IM/IV: Q6 hours

treats PP pain by blocking COX enzymes that are needed to produce prostaglandin

causes nausea and abdominal pain

Question 14

Nitrous Oxide

Answer 14

intermittent inhalation: 50% O2 and 50% N2O

used as labor analgesia

causes nausea/vertigo and euphoria

Question 15

Nalbuphine/Nubain

Answer 15

IM/IV: 10-20 mg/70 kg Q3-6 hours PRN

used as labor pain opioid by altering response to pain

causes sedation and respiratory depression

Question 16

Butorphanol/Stadol

Answer 16

IM: 2-4 mg Q4 hours
IV: 0.5 mg Q4 hours

used for labor pain by altering response to pain

causes sedation and respiratory depression

Question 17

Ancef

Answer 17

IV: 1-2 gm given 1 hour prior to surgery

used for pre-op for C section to prevent infection

causes genital itching and white patches in mouth

Question 18

Sodium Citrate

Answer 18

PO: 10-30 mL Q6-8 hours PRN

used for pre-op to neutralize stomach contents prior to surgery

causes diarrhea and N/V

Question 19

Percocet

Answer 19

PO: 2.5/5/7.5/10 mg hydrocodone and 300-325 mg acetaminophen every 4-6 hours

treats short-term pain relief, oxycodone hydrochloride with acetaminophen

causes CNS depression and GI disturbance

Question 20

Rhogam

Answer 20

IM: 300 mcg at 28 weeks gestation then 300 mcg within 72 hours of delivery

given to prevent rh incompatibility to rh negative moms with a rh positive baby

causes rxn at injection site and increased temp

Question 21

Erythromycin eye ointment

Answer 21

on eyes: 0.5% erythromycin

given to prevent blindness in infant from contact with gonorrhea/chlamydia

causes blurred vision of neonate

Question 22

Lidocaine 1%

Answer 22

TOP/subdermal: 0.5-3.1%

local anesthesia for episiotomy and newborn male circumcision

Question 23

Vitamin K

Answer 23

IM: 0.5-1 mg

prevents hemorrhagic disease of newborn

Vitamin K transfer from breastmilk can be low