Reproductive Medications

Question 1

Estrogen and Progesterone

Answer 1

Oral Birth control
Increase risk for blood clots
Not given for patients with history of MI,DVT, PE, CVA or high risk - smoking/hypertension

Question 2

What medication puts you at increase risk for blood clots

Answer 2

Estrogen and smoking
Estrogen is contraindicated for a patient with thrombophlebitis
Client taking estrogen with report if left leg pain behind the knee = possible DVT

Question 3

Oral contraceptive patient teaching

Answer 3

Do not smoke
Report severe leg pain, swelling, vision loss (could be DVT/CVA)
Do not take with carbamazepine - makes oral contraceptives ineffective

Question 4

Medroxyprogesterone Acetate

Answer 4

Instruct clients that ovulation may not occur for a few months after using this med

Question 5

Common side effects

Answer 5

No need to report
Breast tenderness, spotting between menses

Question 6

Types of Intrauterine Device (IUD)

Answer 6

Copper Intrauterine Device
Levonorgestrel

Question 7

Cooper Intrauterine Device

Answer 7

fast acting
Long Acting
no back up contraception needed
10 years effectiveness

Side effects: mild discomfort upon insertion (spotting/cramping)
Heavier bleeding and increased cramping during menses

Question 8

Levonorgestrel

Answer 8

3-5 years of contraception

Question 9

IUD teaching

Answer 9

Check strings monthly after menses to ensure IUD still in place
Longer, shorter or missing strings, report to HCP
could indicate dislodged IUD huge risk for pregnancy
Missed periods randomly = not normal could mean pregnancy
not affected by weight loss or weight gain

Question 10

terbutaline

Answer 10

Delay labour for baby coming our too soon (preterm labour)
prevents labour
Clams and steady uterus
Activates beta 2 receptors to activate CNS to suppress labour
may be given for 48 hours to suppress labour

Question 11

Oxytocin

Answer 11

Induce labour and stimulates contractions
administer 6-12 hours after last dos of dinoprostone which is a cervical ripening drug
Monitor contractions very closely
Contractions should be less than 60 seconds happening 2-3 minutes apart

Discontinue if contractions last longer than 60
Piggy back oxytocin into main IV line

priority action for 3 consecutive late decelerations = turn off oxytocin

Turn the client to the side if lake decelerations are noted

Question 12

Meperidine

Answer 12

Opioid pain med given during labour
Decelerations are to be expected , no need to discontinue oxytocin

Question 13

Folic Acid

Answer 13

Given to prevent spina bifida
Prevention of neural rube defects
Begin taking before pregnancy

Question 14

Bethamedthsone

Answer 14

helps preterm baby to help speed up development of newborn lungs
Evaluation of effectiveness = normal respiratory pattern in newborns