Pharm

Question 1

dinoprostone/Cervidil

Answer 1

Prostaglandin. Cervical ripening. Used to stimulate contractions of the uterus, thereby ripening the cervix. Must wait at least 30m after removal to start pitocin. Left in place for 12 hrs.

Question 2

Misoprostol (Cytotec)

Answer 2

Used to stimulate contractions of the uterus, thereby ripening the cervix. Must wait at least 4 hr after last misoprostol dose to start pitocin.

Question 3

Contraindications for misoprostol

Answer 3

previous c-section or more than 6 contractions in 30m period

Question 4

dose of oxytocin (Pitocin)

Answer 4

increase by 1-2 milliunits q 30m to achieve adequate contraction pattern. IV or IM. Contraindications are non reassuring FHR or tachysystole

Question 5

Most commonly given opioids given during labor and birth

Answer 5

stadol, nubain, fentanyl

Question 6

study epidural

Answer 6

page 5

Question 7

NSAIDS during pregnancy

Answer 7

contraindicated. increase risk of pulmonary hypertension in newborns. Inhibit prostaglandins needed to keep open the patent ductus arteriosis in the fetus

Question 8

Epidural versus spinal

Answer 8

Epidural: hight dose, onset slow, does not cause significant neuromuscular block, multiple dosing possible, can be given at various points along the backbone. Spinal: low dose, fast onset, does cause significant neuromuscular block, single dose, can only be given at specific point along the backbone to avoid damage to the spinal cord

Question 9

used postpartum to help produce RBC to make up for blood loss

Answer 9

ferrous sulfate (iron)

Question 10

stool softener to help prevent straining, especially in clients with tears/lacerations

Answer 10

docusate sodium (colace)

Question 11

treats severe bleeding after childbirth

Answer 11

Methergine, hemabate, misoprostol