Maternal Newborn Medications

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RhoGAM

Back 1

Suppresses the immune response of clients who are Rh negative to Rh positive red blood cells from the fetus

Front 2

Methotrexate

Back 2

Used to inhibit cell division and enlargement of the embryo. Also prevents rupture of the fallopian tube to preserve it.

Front 3

Retrovir (Zidofudine)

Back 3

Antiretroviral agent used to prevent transmission of HIV/AIDS to the neonate

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Penicillin G

Back 4

It is a prophylaxis antibiotic given to the mother during labor. It is prescribed to treat positive GBS. 5 million units initially IV bolus followed by 2.5 million units intermittently IV bolus every four hours.

Front 5

Ampicillin (Principen)

Back 5

It is a prophylaxis antibiotics given to the mother during labor. It is prescribed to treat positive GBS. The client may be prescribed 2 g IV initially followed by 1 g every four hours. It is also used as a broad-spectrum antibiotic to treat neonatal infection or sepsis.

Front 6

Azithromycin (Zithromax)

Back 6

A broad-spectrum antibiotic used to treat chlamydia.

Front 7

Amoxicillin (Amoxil)

Back 7

A broad-spectrum antibiotic used to treat chlamydia.

Front 8

Erythromycin (Ery-tab)

Back 8

A broad-spectrum antibiotic used to treat chlamydia.

Front 9

Ceftriaxone (Rocephin) & Azithromycin (Zithromax)

Back 9

A one dose prescription broad-spectrum antibiotic used to treat gonorrhea.

Front 10

Fluconazole (Diflucan)

Back 10

An antifungal agent used to treat Candida albicans.

Front 11

Clotrimazole (Monistat)

Back 11

An over-the-counter treatment used to treat candidiasis.

Front 12

Erythromycin (Romycin)

Back 12

The treatment of choice for neonates as a prophylaxis to prevent ophthalmia neonatorum. This infection can be transmitted during descent through the birth canal and can result in blindness in the newborn.

Front 13

Promethazine (Phenergan)

Back 13

An antiemetic used to treat hyperemesis gravidarum. Also controls anxiety. It does not relieve pain but is used as an adjunct with opioids.

Front 14

Metoclopramide (Reglan)

Back 14

An antiemetic used to treat hyperemesis gravidarum.

Front 15

Ferrous sulfate iron supplements

Back 15

Used to increase hemoglobin and hematocrit levels.

Front 16

Iron dextran (Imferon)

Back 16

Used in the treatment of iron deficiency anemia when oral iron supplements cannot be tolerated by the client who is pregnant.

Front 17

Magnesium sulfate

Back 17

The medication of choice for prophylaxis or treatment. It will lower blood pressure and depresses CNS. Prevent seizures. This medication is also used as a Tocolytic to prevent premature delivery.

Front 18

Propranolol (Inderal)

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A beta blocker used to treat tachyarrhythmia's and to lower maternal blood pressure In patients with heart disease.

Front 19

Gentamicin (Garamycin)

Back 19

An aminoglycoside antibiotic given prophylactically to prevent endocarditis in patients with heart disease. It is also used as an antibiotic to treat neonatal infection or sepsis.

Front 20

Ampicillin (polycillin)

Back 20

A prophylaxis antibiotic given to prevent endocarditis in pregnant patients with heart disease.

Front 21

Heparin sodium

Back 21

An anticoagulant used in treating clients with pulmonary embolus, deep vein thrombosis, prosthetic valves, cyanotic heart defects, and rheumatic heart disease. Prevents the formation of additional clots and prevents the enlargement of an existing clot.

Front 22

Digoxin (Lanoxin)

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A cardiac glycoside used to increase cardiac output during pregnancy, and maybe prescribed if fetal tachycardia is present.

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Terbutaline (Brethine)

Back 23

A Beta adrenergic agonist that relaxes uterine smooth muscle by stimulating beta-2 receptors in the smooth muscle fibers to inhibit uterine activity. Withhold this medication if the maternal heart rate is 120-140 bpm or if the client reports chest pain or cardiac arrhythmias. Also maybe administered prior to the primary care providers attempt at replacement of the uterus in the uterine cavity after uterine inversion.

Front 24

Ampicillin (Omnipen)

Back 24

An antibiotic used to treat infection when PROM has occurred.

Front 25

Betamethasone (Celestone)

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A glucocorticoid that is administered IM in 2 injections, 24 hours apart and requires a 24 hour period To be effective. The therapeutic action is to enhance fetal lung maturity and surfactant production.

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Hydroxyzine (Vistaril)

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Does not relieve pain but is used as an adjunct with opioids to control nausea and anxiety.

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Secobarbital (Seconal)

Back 27

Can be used during the early or latent phase of labor to relieve anxiety and induce sleep.

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Pentobarbital (Nembutal)

Back 28

Can be used during the early or latent phase of labor to relieve anxiety and Induce sleep.

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Phenobarbital (luminal)

Back 29

Can be used during the early or latent phase of labor to relieve anxiety and induce sleep.

Front 30

Hydrochloride (Demerol)

Back 30

Acts on the CNS to decrease the perception of pain without the loss of consciousness. Can cause respiratory depression in the neonate if given too close to delivery.

Front 31

Fentanyl (Sublimaze)

Back 31

Acts on the CNS to decrease the perception of pain without the loss of consciousness. Can cause respiratory depression in the neonate if given too close to delivery. This can also be used as an epidural block injected into the epidural space at the level of the fourth or fifth vertebrae.

Front 32

Butorphanol (Stadol)

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Provides pain relief without causing significant respiratory depression in the mother or fetus.

Front 33

Nalbuphine (Nubain)

Back 33

Provides pain relief without causing significant respiratory depression in the mother or fetus.

Front 34

Lidocaine (Xylocaine)

Back 34

A local anesthetic pudendal block that is administered transvaginally into the space in front of the pudendal nerve. This type of block has no maternal or fetal systemic effects. It is administered during the second stage of labor 10 to 20 minutes before delivery.

Front 35

Bupivacaine (Marcaine)

Back 35

A local anesthetic pudendal block that is administered transvaginally into the space in front of the pudendal nerve. This type of block has no maternal or fetal systemic effects. It is administered during the second stage of labor 10 to 20 minutes before delivery. It can also be used in an epidural block along with an analgesic such as morphine or fentanyl.

Front 36

Morphine (Duramorph)

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It is an analgesic that can be used in an epidural block injected into the epidural space at the level of the fourth or fifth vertebrae.

Front 37

Thiopental sodium (Pentothal)

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A short acting barbiturate used to render the client unconscious as in with general anesthesia.

Front 38

Succinylcholine chloride (Anectine)

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A muscle relaxant used to facilitate passage of an endotracheal tube.

Front 39

Rantidine (Zantac)

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A histamine H2 receptor blocker used to decrease gastric acid production.

Front 40

Oxytocin (Pitocin)

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A medication used to augment labor and strengthen uterine contractions. Monitor the client for adverse reactions of water intoxication. You might see lightheadedness, nausea, vomiting, headache, and malaise. These reactions can progress to cerebral Adema with seizures, coma, and death.

Front 41

Warfarin (Coumadin)

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An anticoagulant used for the treatment of clots as in for deep vein thrombosis. It is administered orally and is continued by the client for approximately 3 months.

Front 42

Phytonadione (Vitamin K)

Back 42

The antidote for warfarin (Coumadin)

Front 43

Alteplase (Activase)

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A thrombolytic therapy used to break up blood clots in the event of pulmonary embolus.

Front 44

Streptokinase (Streptase)

Back 44

A thrombolytic therapy used to break up blood clots in the event of pulmonary embolus.

Front 45

Methylergonovine (Methergine)

Back 45

A uterine stimulant used to control postpartum hemorrhage. Do not administered to client who have hypertension. Monitor the client for adverse reactions including hypertension, nausea, vomiting, and headache.

Front 46

Misoprostol (Cytotec)

Back 46

A uterine stimulant used to control postpartum hemorrhage.

Front 47

Carboprost tromethamine (Hemabate)

Back 47

A uterine stimulant used to control postpartum hemorrhage. Monitor for adverse reactions including fever, chills, headache, nausea, vomiting, and diarrhea.

Front 48

Clindamycin (Cleocin)

Back 48

An antibiotic used in the treatment of bacterial infections such as endometritis, mastitis, and wound infections.

Front 49

Vitamin K (AquaMephyton)

Back 49

An injection given to the newborn to prevent hemorrhagic disorders. It is not produced in the gastrointestinal tract until around day eight but is produced in the colon by bacteria that forms once formula or breast milk is introduced to the gut.

Front 50

Triple dye

Back 50

A topical antimicrobial treatment for umbilical cord care.

Front 51

Hepatitis B vaccination

Back 51

A vaccine given to all newborns born to healthy women. Recommended dosage schedule is birth, one month, and six months. For babies born to infected mothers this vaccination is given at birth, one month, two months, and 12 months.

Front 52

HBIG (Hepatitis B immunoglobulin)

Back 52

This is given to all neonates who are born to infected hepatitis B moms. These babies also receive the hepatitis B vaccination at birth, one month, two months, and 12 months.

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Phenobarbital (Solfoton)

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It is prescribed to decrease CNS irritability and control seizures for neonates who have alcohol or opioid addiction.

Front 54

Beractant (Survanta)

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A lung surfactant prescribed for newborns who are premature and have respiratory distress syndrome.

Front 55

Calcium gluconate

Back 55

Antidote for magnesium sulfate toxicity

Front 56

Protamine sulfate

Back 56

Antidote for heparin overdose