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100 Cards in this Set
- Front
- Back
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Pitocin route |
IV IM |
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What is pitocin used for? |
Stimulates uterine contractions; Used to firm the uterus when hemorrhaging or prevent hemorrhaging. |
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T/F: Students may administer pitocin |
FALSE |
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When is pitocin given? |
Titrated dosages during induction/augmentation of labor; continuous dosages after birth of placenta |
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What are the side effects of pitocin? |
Hyperstimulation Uterine rupture Abruptio placenta |
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Terbutaline/Brethine route |
SQ/IV PO |
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What is terbutaline/brethine used for? |
Relaxes uterus in preterm labor or with a tetanic uterine contraction during an induction or fetal distress. |
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What is special about terbutaline/brethine? |
It is a HIGH ALERT MED- Not used for long-term use to stop premature labor; ONE TIME USE. |
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What is a side effect of terbutaline/brethine? |
Tachycardia in both mother and fetus; Uncomfortable for women. |
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Methergine route |
PO IM |
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What is methergine used for? |
Uterine contraction |
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What is a side effect of methergine? |
Will increase blood pressure |
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Which medication should you NOT give is the patient is hypertensive? |
Methergine |
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What is the route for hemabate? |
IM |
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What is hemabate used for? |
Prostaglandin to control bleeding after delivery |
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What is "special" about hemabate? |
-Often given with Lomotil (treat diarrhea) -DO NOT GIVE if patient has history of asthma |
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What is the route for cytotec?
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Vaginally Rectal |
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What is cytotec used for? |
-Occasionally used to induce labor -Postpartum hemorrhage |
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What are the side effects of cytotec? |
Cramping; Also may not work |
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What is the route for magnesium sulfate? |
IV |
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What is magnesium sulfate used for? |
Preterm as a neuro-protectant for the fetus; decrease CNS irritability and prevention of seizures in hypertensive and preeclampsia conditions; Relaxes the uterus so it can be used to stop uterine contractions in preterm labors. |
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What medication is given as an antidote to magnesium? |
Calcium gluconate |
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What is the route for calcium gluconate? |
IV push |
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What is the route for betamethasone/dexamethasone? |
IM |
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What is betamethasone/dexamethasone used for? |
To mature the fetal lungs in preterm birth |
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What is the route for ampicillin? |
IV |
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What is ampicillin used for? |
Treatment of positive Group B Strep |
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What is the "goal" for ampicillin (how many doses)? |
Infuse minimum of 2 doses prior to birth |
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Infant Meds: What is the route for vitamin K? |
IM |
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What is vitamin K used for in infants? |
For neonates- To prevent hemorrhagic disease; give within 6 hours of birth of newborn |
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Infant meds: What is the route for Hep B vaccine? |
IM |
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What is erythromycin used for in infants? |
Eye ointment for prophylaxis for neonate eyes; give within 1 hour of birth |
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What is lidocaine 1% used for? |
Local for episiotomy and newborn male circumcision. |
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What are the three pre-op cesarean birth medications? |
-Sodium citrate
-Alka seltzer -Ancef |
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What is the route for sodium citrate? |
PO |
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What is the route for alka seltzer? |
PO |
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What is the route for ancef? |
IV |
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What is sodium citrate used for? |
Pre-op to neutralize stomach contents prior to OR |
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What is alka seltzer used for? |
Pre-op to neutralize stomach contents prior to OR |
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What is ancef used for? |
Pre-op for c/birth to prevent infection |
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What are the three medications for labor pain (as listed on chart) |
-Nubain -Stadol -Fentanyl |
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What are the routes for nubain, stadol, and fentanyl? |
Nubain: IM/IV Stadol: IV Fentanyl: IV |
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When is rhogam given? |
Given within 72 hours to Rh negative mothers who have Rh positive baby OR who had a miscarriage or trauma to the abdomen and at 28 weeks as prophylaxis to Rh- mothers |
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What is the route for percocet? |
PO |
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What is percocet used for? |
Pain associated with involution, episiotomy, and post-op incision |
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What is the route for Duramorph? |
Epidural |
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What is duramorph used for? |
Pain relief after c/birth given by anesthesia just prior to surgery |
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Ibuprofen is used for... |
Pain associated with involution, episiotomy, and post-op incision |
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Acetaminophen is used for... |
Maternal fever/pain |
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What is the route for docusate? |
PO |
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What is docusate used for? |
Constipation; Stool softener |
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What is the route for iron? |
PO |
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What is iron used for? |
Anemia |
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What is the route for senokot? |
PO |
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What is senokot used for? |
Constipation; Stimulant laxative |
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What is the route for benzocaine spray? |
Topical |
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What is benzocaine spray used for? |
Spray to perineum PRN for episiotomy pain |
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What is tucks (witch hazel) used for? |
Perineal swelling or hemorrhoids |
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What is anusol used for? |
Temporary relief of burning pain and itching caused by hemorrhoids |
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What is the route for anusol? |
PR; Suppository |
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What is ambien used for? |
Sleep aid
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What is the route for the rubella vaccine? |
IM |
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What is the route for depo provera? |
IM |
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What is depo provera used for? |
Birth control; needs to be repeated every 3 months |
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What do providers use to artificially rupture the amniotic membranes (AROM)? |
Amnihook
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Labor typically begins within ___ hours after the membranes rupture? |
12 hours |
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________ is an incision made into the perineum to enlarge the vaginal opening to facilitate delivery and minimize soft tissue damage. |
Episiotomy |
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What is the best site and direction for an episiotomy? |
A median, midline incision extending from the vaginal outlet toward the rectum. |
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When is a c-section performed? |
-Malpresentation, particularly breech -Cephalopelvic disproportion -Fetal distress -Placental abnormalities (placenta previa or abruptio placenta) -High risk pregnancy (ex: HIV+, preeclampsia, eclampsia, diabetes, etc.) -Previous c-section -Umbilical cord prolapse |
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What are some nursing actions during a c-section? |
-Assess and record FHR and vital signs -Insert indwelling catheter -Apply anti-embolism stockings -Administer preoperative meds -Prepare surgical site -Insert IV catheter -Explain procedure -Provide emotional support -Positioning of client in supine position + wedge under one hip to prevent compression of vena cava -Monitor for infection and excessive bleeding -Assess uterine fundus -Assess lochia -Pain relief |
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_________ occurs when the umbilical cord is displaced, preceding the presenting part of the fetus, or protuding through the cervix; Could result in cord compression and compromised fetal circulation. |
Prolapsed umbilical cord |
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Fetal distress is present when... |
-FHR is below 110 or above 160/min -The FHR shows decreased or no variability -There is fetal hyperactivity or no fetal activity |
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What is a potential complication for a fetus in a breech presentation? |
Prolapsed umbilical cord |
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_______: Bright red color, bloody consistency, fleshy odor, may contain small clots; Lasts 1-3 days after delivery. |
Lochia rubra |
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_______: Pinkish, brown color; seroanguineous consistency; Last from ~day 4 to day 10 after delivery. |
Lochia serosa |
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______: Yellowish, white creamy color, fleshy odor; Lasts from ~day 11 up to beyond 6 weeks postpartum. |
Lochia alba |
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How do you assess lochia amount? |
Scant Light Moderate Heavy Excessive blood loss |
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_______: A woman in her first pregnancy. |
Primigravida |
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GTPAL acronym |
Gravidity (preg) Term births (38+ weeks) Preterm births (from viability-37 weeks) Abortions/miscarriages (before viability) Living children |
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What do you use to assess presentation and position of the fetus? |
Leopold maneuvers |
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________: Most widely used technique for antepartum eval of fetal well-being performed during third trimester; Monitors response of FHR to fetal movement. |
Nonstress Test |
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________: When the placenta abnormally implants in the lower segment of the uterus, instead of attaching to fundus. |
Placenta previa |
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________: Premature separation of the placenta from uterus, which can be a partial or complete detachment; A leading cause of maternal death |
Abruptio placenta |
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_________: Fetal head descends into true pelvis about 14 days before labor; Feeling that the feus has "dropped"; Easier breathing but more pressure on bladder, resulting in urinary frequency- More pronounced in clients who are primigravida. |
Lightening |
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______: Brownish or blood-tinged mucus discharge caused by expulsion of the cervical mucus plug resulting from the onset of cervical dilation and effacement. |
Bloody show |
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_______ should be used by the nurse to confirm that amniotic fluid is present. |
Nitrazine paper- Should be a deep DUKE blue. |
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What are the 5 P's of labor and birth process? |
Passenger Passageway Powers Position Psychologic response |
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We want the fetus to be in the fetal [flexion/extension] position. |
Fetal flexion (chin tucked to chest!) |
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________: Measurement of fetal descent in centimeters with "0" being the level of an imaginary line at the level of the ischial spines. |
Station |
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What fetal position is ideal? |
Occiput posterior |
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_______: Abdominal palpation or the number of fetuses, the fetal presenting part, lie, attitude, descent, and the probably location where fetal heart tones may be best auscultated. |
Leopold maneuvers |
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True vs. false labor |
TRUE: Regular, felt in lower back --> abdomen, walking can increase intensity, continues despite comfort measures, progressive change in dilation and effacement, moves to anterior position, bloody shower, fetus engages in pelvis FALSE: Irregular, intermittent, comfort measures help, no significant change in dilation or effacement, often remains in posterior position, no bloody show, fetus not engaged |
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_______: When presenting part of fetal head passes the pelvic inlet at level of ischial spines; known as station 0 |
Engagement |
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_______: The progression of the presenting part through the pelvis. |
Descent |
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Latent phase frequency and duration |
F: 5-30 mins D: 30-45 seconds |
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Active phase frequency and duration |
F: 3-5 mins D: 40-70 seconds |
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Transition phase frequency and duration |
F: 2-3 mins D: 45-90 seconds |
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Second stage = |
Full dilation to birth |
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Third stage = |
Delivery of neonate to delivery of placenta |
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Fourth stage = |
Delivery of placenta to maternal stabilization of vital signs |
