1. The anti-convulsant mechanism of magnesium is believed to depress seizure of the
    foci in the brain and peripheral neuromuscular blockade.
  2. antagonist for mag sulfate
    Calcium Gluconate is the antidote for magnesium toxicity
  3. who is mag sulfate given to and why?
    pregnant clients with preeclampsia (AKA PIH-pregnancy induced hypertension)

    to prevent seizures.
  4. when should mag sulfate be held
    when client’s RR or U/O falls or reflexes are diminished or absent
  5. what are signs of impending magnesium toxicity, or excess magnesium
    flushing or feeling warm AEB central nervous system depression
  6. these s/s are due to excessive magnesium sulfate.
    flushing or feeling warm
  7. what are nursing considerations for mag sulfate
    1. RR must be at least 14breaths/minute

    2. DTR must be present

    3. U/O must be at least 30ml/hour

    4. Serum Mg+ level betw 4-8mEq/dL
  8. what is the loading dose for mag sulfate
    4 grams in 1L NSS
  9. what is the maintenance dose for magnesium sulfate
    2 grams in 1L NSS
  10. s/s of gestational hypertension
    epigastric pain

    blurred vision

  11. why is magnesium sulfate the drug of choice for gestational hypertension
    b/c it reduces edema by shifting from extracellular space into the intestines
  12. when does RH isoimmunization occur in pregnant clients
    when the Rh(+)fetal blood cells cross into the maternal circulation and stimulate maternalantibody production
  13. what is the general idea of Rh factor
    Generally, during pregnancy a few of the baby’s blood cells manage to escape into the mom’s circulation, and mom develops antibodies that treat baby as an intruder
  14. administer _______ if mom is Rh(-) and baby is Rh(+)
    Rhogam 300mcg IM
  15. when should MMR vaccine be administered
    when rubella is non immune
  16. drug indicated for inducing labor by stimulating contractions.
    oxytocin (pitocin)
  17. nursing intervention for oxytocin
    Monitor fetal heart tones and mommy laying on L side
  18. when should oxytocin infusion be stopped
    when contractions are strong for 60seconds or it could rupture the uterus
  19. why should I & O's be monitored with oxytocin
    because oxytocin can cause WATER INTOXICATION, possibly leading to seizure, coma and death.
  20. what kind of effect does oxytocin produce
    antidiuretic effect
  21. when bleeding is controlled what should be done with oxytocin
  22. what is the dose for oxytocin to control uterine bleeding
    •20 unitsin 1L LR at 125ml/hr
  23. 1 unit of pitocin = how many millunits
  24. this is administered when client is displaying early amniotic fluid leakage with uterine irritability with rapid contractions to ultimately REDUCE UTERINE MOTILITY
    terbutaline (brethine)
  25. when is terbutiline administered
    if client is preterm and displaying rapid contractions
  26. how much terb should be administered
    SQ route 0.25mg
  27. common SE of terb
    fluttering or tight sensation in the chest
  28. majr adverse effect of epidural
  29. major nursing intervention for epidural hypotension
    give 500 ml fluid bolus to help prevent hypotension.
  30. how should gentamycin and rocephin be given
  31. ampicillin _____ grams IV in LD Dept
  32. ampicillin ______ grams IV in OB dept
  33. demarol narcotic is given what route
  34. route for stadol narcotic
    IM or IVPB
  35. a clients labor does not progress what should be given
  36. common OB pain reliever narcotics
    • 1. Dilaudid PO
    • 2. Demoral IM
    • 3. Morphine
    • 4. Toradol
    • 5. Stadol IM or IVPB
    • 6. Motrin PO
    • 7. Tylenol #3 PO
    • 8. Tylenol 650mg
Card Set
OB mid pp