Labor Medications
This medication is used to stimulate uterine contractions before or after labor
What is ocytocin (pitocin)?
this stage of labor is divided into two separate phases, known as the active and latent phases, and involves cervical dilation from 0-10cm
what is the first stage of labor?
it is the baseline for FHR
what is 110-160bpm?
This complication is a priority risk following a amniotomy procedure?
umbilical cord prolapse
These two medications should not be given to a woman on suboxone due to sudden and severe withdrawal
what is nubain and staldol?
This medication is an NSAID tocolytic agent that functions to thicken the cervical lining to inhibit contractions
Symptoms such as increased bowel pressure, vomiting, and severe apprehension are signs of what in the labor process?
transitioning
Maternal tachycardia and infection are commonly known causes of this FHR abnormality
This complication involves sudden fetal bradycardia and cessation of contraction pains, most often occurring during TOLAC
what is uterine rupture?
This class of medications produce the expected finding of CNS depression and decreased FHR variability
what is opioids?
This medication should not be used in labor induction/augmentation for patients who are TOBAC due to risk for uterine rupture
What is misoprostol (cytotec)?
In this stage of labor we should be providing education to the patient
what is the first stage (latent) phase of labor?
This is the priority treatment for a FHR showing variable decelerations
what is repositioning the mother to her left side?
This complication results in sudden cardiopulmonary collapse, hypoxia, hypotension, and coagulopathies and is a rare and life-threatening complication.
This medication is known to cause fetal bradycardia
what is nubain?
This medication is used as a neuroprotectant and muscular dulling agent during induction/augmentation, but can result in underactive DTRs and respiratory depression
what is magnesium sulfate?
In this stage of labor the baby is born
What is the second stage of labor?
This FHR finding indicates a reassuring occurrance, and is expected to occur in a 15x15 block after 32 weeks gestation
What is accelerations?
This complication results in premature detachment of the placenta from the wall of the uterus, most commonly caused by cocaine use. Symptoms include knife-like pain and dark red vaginal bleeding
what is placental abruption?
This medication, a morphine derivative, is often given with spinal anesthesia during a c-section to improve pain control for 24 hours
what is duramorph?
This medication is a calcium channel blocker used as a tocolytic agent to inhibit contractions
what is nifedipine (procardia)?
In this stage of labor, the priority concern is postpartum hemorrhage
what is the fourth stage of labor?
This FHR abnormality is caused by uteroplacental insufficiency and shows decelerations occurring AFTER a contraction starts
what is late decelerations?
This complication is the result of attachment of the placenta to a part of the uterus other than the fundus, resulting in painless bright-red bleeding
what is placenta previa?
This type of analgesia is used during vaginal delivery to help block pain from the waist down
what is an epidural?