Endocrine NCLEX Questions

OB NCLEX: OB pharmacology

Leave the first rating Students also studied Terms in this set (46) Science MedicineObstetrics Save Endocrine NCLEX Questions 17 terms s646680Preview OB Pharmacology Test 50 terms tmspencePreview NUR 2031 Pharm OB Exam 1 110 terms Sarah_Walls85 Preview NCLEX 18 terms sup Tocolyticsslows contractions Oxytoticsstimulates contractions ProstaglandinsRipens the cervix What is the class of Terbutaline?Selective B-2 adrenergic agonist What are the indications for Terbutaline?Preterm labor, bronchodilation How does Terbutaline work in the body?Works on B-2 receptors in the uterus to slow or stop contractions What are some side effects of Terbutaline?Weakness, jitteriness, dizziness, drowsiness, sleep disturbances, headache, nausea/vomiting, tachycardia, hypertension, hyperglycemia, CNS overstimulation What nursing considerations should be taken when administering Terbutaline?Assess/monitor heart rate, blood pressure, EKG, blood glucose levels; Perform fetal heart rate monitoring and non-stress test What is the class of Magnesium Sulfate?Electrolyte and Tocolytic What are the indications for Magnesium Sulfate? hypomagnesemia, TDP, preeclampsia, preterm labor, seizures, asthma exacerbation What are the nursing considerations for administering Magnesium Sulfate?Monitor for hypermagnesemia - confusion, dizziness, weakness, decreased reflexes. Give IV slowly.What is the class of oxytocin?Hormones, oxytocic

What are the indications for using oxytocin?Induction of labor, PPH What is the action of oxytocin?Stimulates uterine smooth muscle → contraction What nursing considerations should be taken when administering oxytocin?Monitor contractions and fetus, warn mother of increased pain, monitor BP, HR, GLU, and K levels What are the indications for Prostaglandin E1 (Misoprostol)?Stomach ulcers, induction of labor, elective termination of pregnancy (TOP), Dilation and Curettage (D&C) What is the action of Prostaglandin E1 (Misoprostol) in the stomach?Inhibits acid secretion through stimulation of prostaglandin E1 receptors How does Prostaglandin E1 (Misoprostol) affect the cervix and uterus?Softens the cervix and causes uterine contractions What nursing considerations are important when administering Prostaglandin E1 (Misoprostol) for labor induction?Closely monitor uterine contractions and fetal heart rate (FHR), administer sublingually (SL) or vaginally, use with caution in women with prior uterine surgery What are the indications for Prostaglandin E2 (Dinoprostone)?Induction of labor, elective TOP What is the action of Prostaglandin E2 (Dinoprostone)? Stimulates muscles in the uterus to contract and causes cervical dilation What nursing considerations should be taken with Prostaglandin E2 (Dinoprostone)?Closely monitor contractions and fetal heart rate (FHR), administer as vaginal gel/suppository, be aware of slight increase in risk for amniotic fluid embolism Natural labor pain control methodsHypnobirthing, hydrotherapy, touch therapy, movement, positioning, breathing Labor pain control medicationsNitrous oxide, systemic analgesics, local anesthetics, regional anesthesia, and general anesthesia What is nitrous oxide?A tasteless and odorless gas How is nitrous oxide administered during labor? Mixed with oxygen through a mask How does nitrous oxide help during labor?Reduces anxiety and induces feelings of well-being What are the effects of nitrous oxide on labor? Does not limit movement, slow labor, or pose significant risks for the baby What is the main effect of systemic analgesics - opioids? Lessens the pain without loss of feeling or muscle movement How do opioids typically enter the body?Opioids through IV What are some typical narcotics used in labor? Meperidine (demerol), butorphanol (Stadol), morphine, and nalbuphine (Nubain) What is the impact of opioids on pain during labor? Takes the edge off, but the bulk of the pain will remain

Why is limited use of opioids during labor recommended?Can cross placenta, leading to respiratory depression on both mother and baby; regulated use can minimize impact on APGAR score When can opioids be given prior to delivery?1 hour before expected delivery to lessen sedation in newborn, as breathing and breastfeeding could be affected Local Anesthetics - Lidocaine (-caine)Used if incision needs to be made (episiotomy, repair laceration) Quickly numbs the specific area, negative effects are rare.Do not affect pain from contractions.What is an epidural?A small catheter placed into the lower spine that delivers pain medication to block pain signals from reaching the brain.What are the effects of an epidural during labor? It removes most of the pain without affecting the progress of labor. The mother remains awake and alert but may experience decreased mobility and sensation in the lower extremities.What are some considerations when using an epidural? Epidurals do not always work effectively. They can cause a rapid drop in blood pressure, requiring close monitoring. In some cases, the catheter may be placed in the bladder, affecting urinary function.What is a spinal block commonly used for?Typically used for C/S pain control How does a spinal block work?Injected directly into the fluid of the spinal cord to quickly block pain for a couple of hours What are the effects of a spinal block?Completely removes pain from the lower body for 1-2 hours. It may decrease blood pressure and, in rare cases, lead to fetal heart rate drop When is general anesthesia typically used during childbirth?Reserved for use only during emergency situations Why might general anesthesia be avoided if a spinal or epidural won't work?Rarely used if a spinal/epidural won't work (Hx of spinal injury) What are the effects of general anesthesia during childbirth?Causes complete loss of sensation and consciousness. Will delay mother-baby bonding and breastfeeding negatively.What are the risks associated with using general anesthesia during childbirth?Inability to place ETT, inc. risk for PE/lung infx. Anesthetic medication toxicity.Respiratory depression in newborn. Fetal lethargy. Longer hospital stay and recovery time.Antihypertensives for pregnancyLabetalol Nifedipine Hydralazine