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MNB ATI STUDY GUIDE Complete Questions With Accurate Verified Answers.
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Magnesium Sulfate - correct answer Given IV Bolus (Loading dose) = 4g Then IV drip 1-2g/h Tx of pre-eclampsia / anticonvulsant CVS depressant, blocks peripheral neuromuscular transmission; decreases amount of ACh released *-Monitor FHR continuou...

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  • August 18, 2024
  • 27
  • 2024/2025
  • Exam (elaborations)
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MNB ATI STUDY GUIDE

Magnesium Sulfate - correct answer Given IV

Bolus (Loading dose) = 4g

Then IV drip 1-2g/h

Tx of pre-eclampsia / anticonvulsant

CVS depressant, blocks peripheral neuromuscular transmission; decreases amount of ACh released



*-Monitor FHR continuously

-VS q15-30 mins

-MAX 100-125ml fluids/hour

-Maintain urine output at 30ml/hr*



SE: Feeling of warmth and sedation with infusion

*AE: Respiratory depression, pulmonary edema*

Antidote: Calcium Gluconate



*C/I: inadequate renal perfusion, decreased urine output (can lead to toxicity)*



*S+S of Toxicity:* *No* patellar deep tendon reflexes, urine output <30ml/hr, resps <12, decreased LOC,
and dysrhythmias



Antedote: *Calcium Gluconate*



Nifedipine - correct answer (Procardia)

Given PO for tx of preterm labor

Ca+ channel blocker; relaxes smooth muscle

,*AE: HoTN*



Indomethacin - correct answer (Indocin)

Given PO

NSAID

Suppresses preterm labor by blocking production of prostaglandins



*Can only be given for 48-72 hours*

*Only for 32 weeks or less*



Terbutaline - correct answer (Brethine) *Given IV or SubQ q4hr, for MAX of
24hrs*

Sympathomimetic; smooth muscle relaxant to relax the uterus from contracting



*Give for:* Nonreassuring FHR, Pre-term labor



*Do NOT give if HR >130*

AE: Tachycardia/feeling of racing heart, *hypokalemia,* HoTN, hyperglycemia



Bethethasone/Dexathethasone - correct answer Given IM in 2 injections 24
hours apart

Glucocorticoid to enhance fetal lung maturity and surfactant production



AE: Blood sugar changes



Pain meds in labor - correct answer Meperidine(Demerol)

Fentanyl(Sublamaze)

Butorphanol(Stadol)

Nalbuphrine(Nubain)

, Adjunctive Meds in labor - correct answer Promethazine(Phenergan) -
prevents nausea/vomiting



Diphenhydramine(Benadryl) - for itching



Vasopressor (Epherine) - correct answer Corrects HoTN



Regional Block - correct answer Local anesthetic



Pudendal Block - correct answer Admin transvaginally

Local anesthesia to the perineum, vulva, and rectal area



Epidural - correct answer Fentanyl/Bupivacaine

Catheter placed in the epidural space and continuous infusion dose of med is given

*AE: HoTN, Prolonged labor(if given too early)* C/I: decreased PLT



Spinal Anesthesia - correct answer Patient is awake for procedure and is numb
below the breast and down



*AE: Headache, HoTN*



Pain after a C-section - correct answer *Duramorph* (long-acting morphone
placed during spinal)

*Toradol* 15-30mg IVP

*Acetaminophen* 1000mg IVPB

*Fentanyl* 50-100mg IVP

*Morphone* 5-10mg IM



Hydralazine - correct answer (Apresoline) HTN tx

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