these to stimulants are used together to shorten the duration of time required to expel uterine contents?
oxytocin and dinoprostone
this is for cervical ripening?
dinoproston is a gel, slab and how is it administered?
for gel:at room temp and remain supine 15-30 min for vaginal slab:does not have to be room temp and remain supine for 2 hrs and remove at labor or 12 hrs after insertion
for evacuation of uterine contents?
aloow to become room temp, remain supine 10 min and may repeat every 2-5 hrs
what should nurses monitor on dinoproston?
V/S q30 min, hydration status, discharge, n/v/d may need to medicate for this
synthetic prostoglandin E used to prevent NSAID induced ulcer disease
ergovine maleate? methylergonovine?
produce a more sustained contraction than oxytocin and are used in small doeses postpartum pt to control bleeding and maint uterine firmness. Inhibited in induction of labor due to danger to the fetus and such sever prolonged contractions
Ergonovine is inhibited in PT who?
desire to breast feed
what may develop from caudal or spinal anesthesia
HTN and HA
this causes vasocontriction of the uterus?
produced by the hypothalmus and stored in the posterior pituitary gland, when released it stimulates the smooth muscle of the uterus, blood vessels and mammary glands.
2 affects of oxytocin?
antidiuretic and vasopressor
what should you as the nurse monitor when administering oxytocin?
VS BP and pulse, hydration, uterine contractions, FHR, discharge
when is a safe week to start oxytocin?
what stops muscle contractions by blocking Ca transmitters?
magnesium sulfate is what?
used as antoconvulsant in eclampsia
symptoms of toxicity of mag sulfate
hot all over, thirsty, flushed skin, diaphoresis, hypotension, flaccid muscles, confusion, rsp collapse
antagonist for mag sulfate?
calcium gluconate or you can lavage or give activated charcoal
infants born to mother who recieve mag sulfate must be monitored for what?
hypotension, hyporeflexia and resp depression
Terbutaline or brethine?
relaxes smooth muscle and bronchials but may cause tremors, anxiety, HA tachcardia, n/v
clomiphene citrate (clomid)?
increases pregnancy potential, ovulation and increases the FSH and LH just like a natural estrogen
5-10% of pts treated with this will have multiple fetus pregnancies
betamethasone or dexamethasone are what? and administered how? and used for what?
corticosteroids, IM to mother to inhibit preterm labor and minimize resp ditress and accelerate lung maturation
supresses the stimulation of active immunity by RH-positive foreign RBC that enter the maternal ciculation at the time of delivery, termination or during a transfusion of inadequate blood type
when is RhoGAM administered?
within 72 hours of termination of pregnancy
when should the Rubella vaccine be given?
immediately after birth
when should you test for group B strep ?
35-37 weeks pregnancy
erythromycin or tetracycline opthalmic ointment?
caused by gonorrhoeae and c. trachmoatis and should be instilled with in 2 hrs of birth 1/4 ribbon and do not irrigate after instilation
administered IM to newborn, prevents hemorrhage
what is responsible in the body for the synthesis of Vit K?
administered IM to newbor, one of first 3 injections and have to have consent
oxytocin id admin IV or IM and may be given early due to what problems?
Diabetic w large fetus, ROM, PIH, eclampsia, incomplete or inevitable abortion