OB Camp Meds

Question 1

Pitocin MOA

Answer 1

Synthetic oxytocin
Stimulates uterine contraction (CTXN) and milk let-down

Question 2

When is Pitocin used

Answer 2

Induction of labor
Postpartum hemorrhage (PPH)

Question 3

Pitocin route

Answer 3

IV

Question 4

Nursing considerations for Pitocin

Answer 4

Monitor FHT and CTXN q 15 mins
Monitor for uterine tachysystole - more than 5 contractions in 10 mins over 30 min window
Decrease Pitocin if uterine tachysystole or baby distress occurs

Question 5

Cytotec (misoprostol) uses

Answer 5

Cervical ripening
Tx for postpartum hemorrhage

Question 6

Cytotec (misoprostol) route

Answer 6

Oral, vaginal, rectal

Question 7

Methergine (methylergonovine) uses

Answer 7

Tx of uterine atony (soft uterus) and PPH (postpartum hemorrhage)

Question 8

Methergine (methylergonovine) route

Answer 8

IM

Question 9

Contraindications for Methergine (methylergonovine)

Answer 9

HTN or pregnancy induced HTN - AE
Preeclampsia
CVD
Lactation

Question 10

Nursing considerations for Methergine (methylergonovine)

Answer 10

Check BP before giving (do not give if >140/90)
Monitor vaginal bleeding and uterine tone (therapeutic effect)

Question 11

Hemabate (carboprost/15methyl pg f) uses

Answer 11

Postpartum uterine bleeding r/t uterine atony

Question 12

Hemabate (carboprost/15methyl pg f) route

Answer 12

IM

Question 13

TXA (Tranexamic acid) use

Answer 13

PPH

Question 14

TXA (Tranexamic acid) route

Answer 14

IV

Question 15

Magnesium sulfate MOA

Answer 15

CNS depressant
Relaxes smooth muscle - uterus

Question 16

Magnesium sulfate uses

Answer 16

Preterm labor
Pregnancy induced HTN
Preeclampsia

Question 17

Magnesium sulfate route

Answer 17

IV

Question 18

Antidote for magnesium sulfate overdose

Answer 18

Calcium gluconate

Question 19

Nursing considerations for Magnesium sulfate

Answer 19

Monitor DTR’s
- Increased = low Mg, Decreased = high Mg
Foley for strict I/O’s
D/c infusion if intolerable AE occur

Question 20

Brethine (terbutaline) MOA

Answer 20

Relaxes smooth muscle
Inhibits uterine activity
Causes bronchodilation

Question 21

Brethine (terbutaline) uses

Answer 21

Tx of preterm labor

Question 22

Brethine (terbutaline) route

Answer 22

SQ

Question 23

Procardia (nifedipine) MOA

Answer 23

Relaxes smooth muscle (uterus) by blocking calcium entry

Question 24

Procardia (nifedipine) route

Answer 24

PO

Question 25

Betamethasone or Dexamethasone MOA

Answer 25

Glucocorticoid
Stimulates fetal lung maturity by promoting the release of enzymes that produce lung surfactant

Question 26

Betamethasone or Dexamethasone use

Answer 26

Prevent/reduce respiratory distress syndrome (RDS) in infants 24-34 weeks gestation
- Off label use

Question 27

Betamethasone or Dexamethasone route

Answer 27

IM

Question 28

Rhogam (rhophylac) MOA

Answer 28

Concentrated immunoglobulin
Suppresses immune response in nonsensitized Rh-negative women who may have infant with Rh-positive blood

Question 29

Rhogam (rhophylac) use

Answer 29

Prevents the production of anti-Rho(D) antibodies in Rh-negative mothers

Question 30

Rhogam (rhophylac) route

Answer 30

IM

Question 31

Rhogam (rhophylac) administration considerations

Answer 31

All Rh-negative moms receive dose 28 wks antepartum
All Rh-negative moms with Rh-positive baby receive 2nd dose within 24 hrs of delivery
Rh-negative moms with invasive testing or could mix blood with fetus receive it

Question 32

Rubella vaccination uses

Answer 32

Provides immunity to non-immune mothers

Question 33

Nursing considerations for Rubella vaccination

Answer 33

Do not give to pregnant pt
Give postpartum
Do not get pregnant for 28 days after administration
Breastfeeding is ok (does not pass through breast milk)
If given with Rhogam check titer after 3 months
Do not give if living with immunocompromised person