Question

1. A drug order reads "titrate the oxytocin gtt according to parameters". Define titration. What labor induction outcome will be easily measured with EFM (electronic fetal monitoring) while using this protocol?

2. Dinoprostone is used with a Bishop score of 8 or higher. Describe the Bishop score and the five elements it measures. How is the effectiveness of the dinoprostone measured?

3. Describe the onset and duration of bupivicaine, a common epidural medication.

4. One major, harmful side effect of morphine or fentanyl in the epidural space is hypotension. What pre-treatment activity decreases the chance of this deleterious side effect?
5. How are bupivicaine and fentanyl transported in the blood stream?
6. The rectus femoris muscle is an acceptable site for the IM Vitamin K given to the neonate?

True

False
7. What bacteria will be diminished by the intravenous administration of Penicillin G during labor?

8. The post C-section client just received her second liter bag of Plasmalyte with oxytocin. What is desired effect of the oxytocin at this time? Write an outcome or goal statement appropriate for the use of oxytocin postpartum.

9. s ibuprofen excreted in breast milk? Define the pregnancy use category of ibuprofen.

10. Nalbuphine HCl or butophanol tartrate may be safely used during labor. Describe the function of this category of drug.

Answer 1

1. A reagent is a titer which is been prepared as a standard solution. The concentration and volume of titrant would react with the solution of analyte or tridrand to determine concentration. The volume of titrant reacted is called the titrant volume. The labor induction outcome would be to have reduction of perinatal mortality and morbidity, fetal wellbeing.

2. Bishop scoring is a prelabour scoring done to know whether the induction of Labour is necessary or not. The 5elements are* cervical position, cervical consistency, cervical effacement, cervical dilatation, fetal head Station. The effectiveness of dinoprostone is evaluated by the cervical dilatation and progress of induction.

3. Bupivicaine lasts upto 2hours without epinephrine and 3hours with epinephrine. It has slow onset of 5 to 10min and lasts longer for 8 to 9hours later.