Reproductive System Flashcards
Oxytocin Indications
Antepartum: contraction stress test
Intrapartum: induction or augmentation of labor
Postpartum: promote uterine tone
Oxytocin Precautions
contraindicated with placental abnormalities, fetal malpresentation, previous uterine surgery, fetal distress
Bishop score of 6 or greater when planning induction
Oxytocin Complications
intense uterine contractions
uterine hyperstimulation
uterine rupture
water intoxication
Oxytocin Administration
administer as secondary infusion via infusion pump for induction or augmentation
continuously monitor uterine contraction and fetal heart rate
discontinue if signs of uterine hyperstimulation, maternal distress, fetal distress
monitor for postpartum uterine bleeding
Methylergonovine Indications
postpartum hemorrhage
Methylergonovine Precautions
use extreme caution with hypertension, preeclampsia, heart disease, venoatrial shunts, mitral valve stenossi, sepsis, cardiovascular impairment, renal impairment, hepatic impairment
Methylergonovine Complications
potent vasoconstriction
hypertension
headache
Methylergonovine Administration
continuously monitor blood pressure
assess uterine bleeding and uterine tone
Tocolytics Examples
Terbutaline Sulfate
Nifedipine
Magnesium Sulfate
Tocolytics Indications
stop preterm labor
Terbutaline Sulfate Complications
nervousness tremulousness headache nausea/vomiting hyperglycemia severe palpitations chest pain pulmonary edema
Terbutaline Sulfate Administration
monitor contractions and FHT
monitor vital signs
do not administer if pulse rate greater than 130bpm or client has chest pain
administer beta blocker as antidote
Nifedipine Complications
hypotension
headache
nausea
flushing
Nifedipine Administration
monitor BP
avoid concurrent use with magnesium sulfate
monitor contractions and FHT
prevent complication with hypotension
Magnesium Sulfate Complications
warmth flushing respiratory depression diminished DTRs decreased urine output pulmonary edema
