OB FINAL - Medications & Lab Values

Question 1

Magnesium Sulfate

Answer 1

• Prevent seizures w/Pre-eclampsia

- Tocolytic to slow/stop pre-term labor

Question 2

Signs of Magnesium Toxicity

Answer 2

• Loss of (absent) DTRs
• Oliguria <12
• Pulmonary edema
• Chest pain

Question 3

Nifedipine (Procardia)

Answer 3

CCB used for tocolysis to stop/slow preterm labor

Question 4

Terbutaline “Brethine”

Answer 4

Tocolytic used for:

• External version
• Stop/slow preterm labor
• Increase FHR & MHR

Question 5

Betamethasone

Answer 5

Corticosteroid used to speed fetal lung maturation for premature delivery.

Series of 2 injections given

Question 6

Penicillin G

Answer 6

Given to treat both mother and fetus if mother has syphillis.

Question 7

Ancef

Answer 7

Given to mother who has had PPROM.

Question 8

Bicitra

Answer 8

Antacid given to mother prior to c-sec to lower gastric pH and prevent aspiration.

Question 9

Butorphanol (Stadol)

Answer 9

Opioid analgesic

Question 10

Oxytocin (Pitocin)

Answer 10

.

Question 11

Cytotec (MIsoprostol)

Answer 11

.

Question 12

Vitamin K

Answer 12

Promotes the formation of blood clotting factors. Given within the first hour of life.
*Give prior to males being circumcised.

Question 13

Erythromycin Opthalmic Ointment

Answer 13

A ribbon of ointment is applied to lower conjunctival sac of the newborn’s eyes within the first hour of life as prophylactic prevent Gonorrhea & Chlamydial infections.

Question 14

Hepatitis B Vaccine

Answer 14

• Prevention of Heb B in exposed & unexposed infants
• Injection site = Vastis lateralis
• Give in first 12hrs, AFTER first bath to prevent contamination from maternal blood on the infant’s ski n.

Question 15

Naloxone (Narcan)

Answer 15

Opiate antagonist

Question 16

Surgicel (Thrombin powder)

Answer 16

.

Question 17

Rubella Vaccine

Answer 17

• Administer to the mother after childbirth or abortion.

- Instruct the mother to not get pregnant within 4 weeks of receiving the vaccination!!

Question 18

RhoGAM / Rhophylac

Answer 18

Given if Mother is Rh- and baby is Rh+

• First dose given at 28 weeks of pregnancy
• Second dose within 72 hrs of delivery
• Also give following an abortion, or Version

Question 19

Methergine

Answer 19

Used for postpartum hemorrhage following a delivery.

Also used to treat subinvolution.

Question 20

Hemabate

Answer 20

.

Question 21

Hepatitis B Immune Globulin (HBIG)

Answer 21

Prophylaxis for infants of hepatitis B surface antigen-positive mothers.

• Injection site = Vastis lateralis, not same site as Heb B vaccine (use diff leg)
• Give in first 12hrs, AFTER first bath to prevent contamination from maternal blood on the infant’s skin.

Question 22

Methotrexate (MTX)

Answer 22

Used for ectopic pregnancy to inhibit cell growth & enlargement of the embryo & prevent fallopian tube rupture.