Oxytocin, tocolytics, and contraceptive and hormone therapy medications with their key nursing considerations.
About this set
34 basic cards for NCLEX-RN Nursing Pharmacology. Set 19 of 21 in Nursing Pharmacology. It opens with "What is the most serious adverse effect of IV oxytocin during labor induction?" and "Why can a prolonged high-dose oxytocin infusion cause water intoxication?". Study it alongside the other NCLEX-RN sets below.
34 cards · basic cards · AI-written, checked twice. Edit anything.
- What is the most serious adverse effect of IV oxytocin during labor induction?
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Uterine tachysystole (hyperstimulation).- Why can a prolonged high-dose oxytocin infusion cause water intoxication?
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Oxytocin has an antidiuretic (ADH-like) effect that promotes water retention.- What is the first nursing action if uterine tachysystole occurs during an oxytocin infusion?
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Stop the oxytocin infusion immediately.- What must be continuously monitored during an oxytocin infusion?
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Fetal heart rate and uterine contractions.- How is oxytocin administered during labor induction?
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As an IV infusion via an infusion pump, piggybacked into the main IV line.- Why is oxytocin given after delivery of the placenta?
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To contract the uterus and prevent or control postpartum hemorrhage.- What is a tocolytic drug?
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A medication used to suppress uterine contractions and stop preterm labor.- What drug class is terbutaline used as when given as a tocolytic?
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A beta2-adrenergic agonist.- What adverse effects should the nurse monitor for with terbutaline?
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Tachycardia, tremors, and hyperglycemia.- How does magnesium sulfate work as a tocolytic?
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It relaxes uterine smooth muscle to stop preterm contractions.- What is an early sign of magnesium sulfate toxicity?
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Loss of deep tendon reflexes.- What is the antidote for magnesium sulfate toxicity?
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Calcium gluconate.- Besides deep tendon reflexes, what two parameters must be monitored during magnesium sulfate therapy?
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Respiratory rate and urine output.- What drug class is nifedipine when used as a tocolytic?
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A calcium channel blocker.- What drug class is indomethacin when used as a tocolytic?
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An NSAID (prostaglandin synthesis inhibitor).
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