Obstetrics/Newborns Flashcards
Dose a Prenatal Vitamin
Folic acid 400mcg one tablet once a day
What is induction
stimulation of contractions before the spontaneous onset of labor
What do prenatal vitamins account for
poor nutrition:
- dietary intake
- special diets
Name potential toxicity of prenatal vitamins
Vitamin A (watch out)
-potentially teratogenic
B6,C,D, iron, zinc, selenium
When is the minimum time to start taking folic acid and stop
1 month before conception
at least 3 months after baby is born
What is augmentation
Stimulation of contractions that are considered inadequate
-failed cervical dilation and fetal descent
Agents for cervical ripening
Dinoprostone gel
Dinoprostone insert
Misoprostol
Dose for prostaglandin insertion
Cervidil Vaginal Insert 10mg
Insert transversely into posterior fornix of the vagina
MOA of oxytocin
Increased prostaglandin production
activation of g-protein coupled receptors
Monitoring for oxytocin IV
Contractions
Fetal HR
ADRs of oxytocin
Vasopressin life effect
-anti-diuretic
-water intoxication= convulsions, coma, death
Uterine rupture (rare)
Dose an oxytocin infusion
Oxytocin infusion start at 1mUnit/minute and increase by 1mUnite/min every 30min until target contraction rate attained
How many women have vaginal or rectal colonization of GBS?
25% women
affects 1/2000 births
rare but outcomes are severe
When should mother be tested for GBS?
within 5 weeks of delivery
Tx of mothers GBS is when
IV abx during delivery
Recommended tx of GBS colonization is
Penicillin G 5 million units IV initially
then 2.5mill q4hrs until delivery
Alternative tx of GBS colonization is
Ampicillin
Tx of GBS colonization if mother has penicillin allergy?
Clindamycin 900mg IV q8hrs until delivery
Dose Vitamin K for newborn
Phytonadione 1mg one dose IM
What is used to prevent newborns contracting Neisseria gonorrhea
erythromycin ophthalmic ointment 0.5%
applied to both eyes one time
Tx for mother with untreated gonorrhea
Ceftriaxone
Tx for apnea of prematurity
Caffeine citrate
20mg/kg as single loading dose then give
5mg/kg once a day 24hrs after loading dose
ADRs of caffeine citrate
mild tachycardia, feeding intolerance
T/F: caffeine citrate is caffeine and sodium benzoate
FALSE
Drug that replaces deficient of ineffective endogenous lung surfactant
Beractant (Survanta)
Respiratory distress syndrome is most commonly caused by
hyaline membrane disease
- deficiency in surfactant production and surfactant inactivation
- poor lung compliance and atelectasis
ADRs of Survanta
transient bradycardia
oxygen desaturation
rarely- apnea, ET tube blockage, HTN, HoTN, etc.
