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PRCC OB Final Exam Study Guide Unit 1 A & B
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PRCC OB Final Exam Study Guide Unit 1 A & B ...
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PRCC OB Final Exam StudyGuide Unit 1 A & B
Used mostly with false labor or latent labor to decrease maternal anxiety & fear,
promotes rest & relaxation, but provides no pain relief. - Answer Barbiturates or
Hypnotic; Sedative Tranquilizers
Secobarbital Sodium (IM or PO)
Pentobarbital Sodium
Adverse effects: Secobarbital & Pentobarbital
Maternal? Fetus? - Answer Maternal: lethargic; Hypotension
Fetus: Decreased FHR variability; Respiratory depression; Poor suck reflex (Up to 4
days)
Phenothiazines derivatives Promethazine Hcl (IV or IM): If given IV what should you NOT
do? If given IM, what method is used? - Answer Do not give undiluted with IV
administration
Use Z track method for IM
Adverse effects of Promethazine & Hydroxyzine: Materal? Fetus - Answer Maternal:
Confusion; Hypotension; Tachycardia; Urine retention (Promethazine); Constipation
(hydroxyzine)
Fetus: decreased FHR variability; lethargic; CNS depression; poor feeding
Narcotic Agonist Fentanyl citrate (IM or IV) causes what in neonates when used in
labor? Contraindications in patients with ___? Antidote used if toxicity? - Answer
Respiratory Depression (*)
Patients with severe asthma
Naloxone (*)
Narcotic Agonist Morphine Sulfate should not be given when? It is best to administer
this medication during what in regards to labor? Use with caution with patients who
have a history of ___? - Answer < 12 R
At the beginning of a contraction (decreased blood supply to fetus) so baby has least
amount of med
Seizures
, Opioids w/ mixed narcotic Agonist-Antagonist effects Butorphanol and Nalbuphine has
what type of effect? Adverse effects are: Maternal? Fetus? - Answer Dose Ceiling effect
Maternal: N/V; respiratory depression; sweating/flushed; lethargy
Fetus: decreased FHR variability; hypotonia
Scoring system to determine if the uterus is ready for labor is? - Answer Bishop Score
What drug is used for labor induction, labor augmentation and postpartum hemostasis?
What type of monitoring is required? How is it administered? Max dose administered? -
Answer Oxytocin
Continuous monitoring (*)
Volume controlled IV pump as IVPB (milliunits/min)
20-40 milliunits/min
Side Effects of Oxytocin: Maternal? Fetus?
Tocolytic used for Oxytocin? What to monitor when tocolytic given? - Answer Maternal:
HTN; Tachystole (6 or more ctx/20 min); uterine hyperstimulation (ctx last >2min) (*)
Fetus: jaundice; hypoxia
Terbutaline Sulfate (stops contractions) (*)
Monitor: I&Os; maternal VS; FHR; S/S uterine rupture (sudden increase pain, FHR
deceleration; hypovolemic is shock)
2nd line med given for hemorrhaging is? What must be done before administering med?
IV administration is done when? What should the patient avoid? - Answer
Methylergonovine maleate (Methergine)
Check BP
IV is emergency only
Avoid smoking
Prostaglandin E2 Gel (Prepadil) should be stored how? Patient should be in what
position & for how long? Adverse effects? - Answer Stored frozen; warm to room temp
Recumbent position 15-30 min
Uterine hyperstimulation; back pain
Which prostaglandin should be removed 30-60 min prior to Oxytocin administration?
Patient should remain lying for how long with this prostaglandin? - Answer Dinoprostone
(Cervadil)
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