NCLEX- Meds affecting labor and Delivery

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  1. Oxytocin (pitocin)
    Uterine stimulant. Used for induction of labor etc. Increases strength, frequency and length of uterine contractions.
  2. What nursing interventions are indicated for a client receiving Oxcytocin (Pitocin)?
    Infusion pump, continuous monitoring of maternal vitals and FHR
  3. Methylergonovine (Methergine)
    Uterine stimulant. Used for emergency intervention for serious postpartum hemorrhage.
  4. What is a serious side effect of Oxytocin?
    Uterine rupture/
  5. If pt is having to complication from oxytocin (lengthy, strengthy contractions) what med should the nurse have on stand-by?
    Mg sulfate.
  6. What is a serious adverse effect of methylergonovine (methergine)?
    HTN Crisis. Monitor symptoms of HTN crisis (ha, n, v, increased bp).
  7. Who should methergine not be given to?
    Pt's w/ htn.
  8. We want to monitor contractions for patients taking oxytocin. What is the general goal for uterine contractions?
    Contractions that last 1 min or less every 2 to 3 min.
  9. Terbutaline sulfate (Brethine)
    Tocolytic. Delay's preterm labor. Selectively activates beta-2 adrenergic receptos, resulting in smooth muscle relaxation.
  10. What are some side effects of Terbutaline?
    Tachycardia, palpitations, chest pain, tremors, anxiety, ha
  11. Mg sulfate
    Tocolytic. used to suppress preterm labor. CNS depressant used to relax smooth muscle of the uterus and causes fewer maternal and fetal side effects than other tocolytics.
  12. What is the antidote for Mg sulfate?
    Ca gluconate
  13. what are side effects of mg sulfate toxicity?
    loss of DTR, low urine output, resp depression, pulmonary edema and chest pain
  14. Meperidine Hydrochloride (Demerol)
    Opioid analgesic. used in labor
  15. Butoorphanol (Stadol)
    Opioid analgesic. used in labor
  16. Nalbuphine (Nubain)
    Opioid analgesic. used in labor
  17. Prior to administering an opioid during labor, what should the nurse make sure?
    that the fetus in engaged and the cervix is dilated @ least 4 cm.
  18. What is the antidote for opiods
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NCLEX- Meds affecting labor and Delivery
NCLEX- Meds affecting labor and Delivery
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