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MATERNITY NURSING PHARMACOLOGY. EXAM REVISION QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE) $8.49   Add to cart
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MATERNITY NURSING PHARMACOLOGY. EXAM REVISION QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE)
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  • Nursing Pharmacology

MATERNITY NURSING PHARMACOLOGY. EXAM REVISION QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE)

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  • October 20, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • Nursing pharmacology
  • Nursing pharmacology

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MATERNITY NURSING PHARMACOLOGY. EXAM REVISION

QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED

A+) (2024 UPDATE)

Have client void before admin and then have her maintain a supine with lateral tilt or side lying

position for 30 to 60 minutes (gel) or up to 2 hours (insert) after admin.

Treatment discontinued when bishop score is 8 or more or effective contraction pattern established.


Example of Prostaglandins - ANSWER- Dinoprostone (Cervidil vaginal insert, Prepidil gel)


Uterine Stimulants - Oxytocin (Pitocin) - ANSWER- Stimulates smooth muscle of uterus and

include force, frequency and duration of contractions

For induction of labor, controls postpartum bleeding, facilitates breastfeeding, manages

incomplete abortion


Adverse reactions - ANSWER- Can produce uterine hypertonicity, high doses can cause

hypotension

Postpartum hemorrhage

Shouldn't be used for client who can't deliver vaginally


Interventions - ANSWER- Piggybacked at port nearest point of venous insertion


Give O2 if prescribed

If hypertonic contractions, stop infusion, turn client on side, inc flow rate of IV, give O2 8 - 10 L,

assess vital signs, FHR

, Ergot alkaloids - ANSWER- Directly stimulating uterine muscle, inc force and frequency of

contractions and produce a firm tetanic contraction of uterus

Not administered before delivery of placenta!

Used to control postpartum hemorrhage and postabortal hemorrhage from atony or involution

Can produce arterial vasoconstriction and vasospasm of coronary arteries so important to assess

circulation


Examples of Ergot alkaloids - ANSWER- methylergonovine maleate (Methergine)


Ergonovine maleate


Prostaglandin F2 (Hemabate) - ANSWER- Contracts uterus for postpartum hemorhhage


Contraindicated if client has asthma


Meds for Postpartum Bleeding - ANSWER- Ergot alkaloid - Methergine


Oxytocin

Prostaglandin F2 - Hemabate


Rubella vaccine - ANSWER- Given SQ before hospital discharge to a nonimmune postpartum

client

Assess for allergy to duck eggs

Do not give if client or other family is immunocompromised. Avoid pregnancy for 1 - 3 months

after.

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