Essential Pharmaceuticals in Midwifery: Classification, Usage, and Implications Quiz

Midwifery

Pharmacology

ACNM

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| Attempts: 11 | Questions: 13 | Updated: Aug 4, 2025

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1. What is the classification and use of cytotec?

Classification: Gastric antisecretoryUse: Stimulation of uterus resulting in contractionAction: Dug is converted in body into Prostaglandin E analogs, which... Classification: Gastric antisecretoryUse: Stimulation of uterus resulting in contractionAction: Dug is converted in body into Prostaglandin E analogs, which inhibit gastric acid, Increases mucus, and bicarbonate production in stomachDosage/Route: 200 mcg qid with meals POSide Effects: Headache, cramps, menstrual disorders, spotting, polyuria, dysuria. Warning-can cause miscarriage and uterine ruptureContraindications: Hypersensitivity to drug/prostaglandins, pregnancy. Nursing Implications: Avoid breastfeeding, monitor VS esp BP, discontinue if possible pregnancy.

Classification: Antibiotic, Use: Treatment of respiratory infections

Classification: Antihistamine, Use: Allergy relief

Classification: Antidepressant, Use: Mood stabilization

Cytotec is classified as a gastric antisecretory drug and is used for stimulating the uterus to induce contractions.

Explanation

Cytotec is classified as a gastric antisecretory drug and is used for stimulating the uterus to induce contractions.

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About This Quiz

Essential Pharmaceuticals In Midwifery: Classification, Usage, And Implications Quiz - Quiz

Explore essential medications used in midwifery, focusing on drugs like pethidine. This study aid enhances your understanding of pharmaceuticals in pregnancy, childbirth, and postpartum care, crucial for healthcare professionals in midwifery.

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2. What is Depo Provera used for?

Relief of migraines

Management of diabetes

Classification: Progestational hormoneUse: Prevention of Pregnancy, also used for amenorrhea, abnormal abdominal bleedingAction: Inhibit pituitary gonadotropin, resulting in ovarian suppression;... Classification: Progestational hormoneUse: Prevention of Pregnancy, also used for amenorrhea, abnormal abdominal bleedingAction: Inhibit pituitary gonadotropin, resulting in ovarian suppression; vaginal mucosa exhibits increased mucificationDose/Route: 150 mg q3mos IM injectionSide Effects: edema, breakthrough bleeding, spotting, menstrual flow change, acne, depression, thrombophlebitisContraindications: hypersensitivity with hx of thrombophlebitis, suspects breast malignancy, undiagnosed vaginal bleeding, High risk of developing problems with dementia in postmenopausal > or equal to 65 y/o during treatment Nursing Implications: Avoid breastfeeding and pregnancy, menstrual changes may occur, teach procedure for breast self-exam

Treatment of hypertension

Depo Provera is a progestational hormone used primarily for the prevention of pregnancy, as well as for treating amenorrhea and abnormal abdominal bleeding.

Explanation

Depo Provera is a progestational hormone used primarily for the prevention of pregnancy, as well as for treating amenorrhea and abnormal abdominal bleeding.

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3. What is Dilaudid used for?

Management of diabetes

Classification: Analgesics-narcoticUse: Relief of severe pain, also preanesthetic sedationAction: Interference with pain impulses at subcortical level of brain, alter psychologic... Classification: Analgesics-narcoticUse: Relief of severe pain, also preanesthetic sedationAction: Interference with pain impulses at subcortical level of brain, alter psychologic response to painDose/Route: 2-4mg q4-6h POSide Effects: lightheadedness, sedation, sweating, urinary retention, ureteral spasm, respiratory depressionContraindications: Hypersensitivity. Caution if pregnant, breastfeedingNursing Implications: Monitor VS, respiration, circulatory status, safety precautions, check for CNS depressent effect

Antibiotic used for bacterial infections

Treatment of high blood pressure

Dilaudid is classified as an analgesic-narcotic used for the relief of severe pain and preanesthetic sedation. It works by interfering with pain impulses at the subcortical level of the brain and altering the psychologic response to pain. It is not used for the treatment of high blood pressure, bacterial infections, or diabetes.

Explanation

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4. What is the classification, use, action, dose/route, side effects, contraindications, and nursing implications of Ibuprofen?

Classification: Antacid. Use: Treats insomnia. Action: Stimulates appetite. Dose/Route: 250mg every 8 hours. Side Effects: Drowsiness, blurred vision, dry mouth.... Classification: Antacid. Use: Treats insomnia. Action: Stimulates appetite. Dose/Route: 250mg every 8 hours. Side Effects: Drowsiness, blurred vision, dry mouth. Contraindications: History of seizures. Nursing Implications: Administer with a full glass of water.

Classification: Antibiotic. Use: Prevents blood clots. Action: Increases blood flow. Dose/Route: 1000mg once daily. Side Effects: Fatigue, joint pain, muscle... Classification: Antibiotic. Use: Prevents blood clots. Action: Increases blood flow. Dose/Route: 1000mg once daily. Side Effects: Fatigue, joint pain, muscle weakness. Contraindications: Liver disease. Nursing Implications: Monitor liver enzymes regularly.

Classification: Antiinflammatory-analgesic, antipyreticUse: Relief of mild/moderate pain, reduce inflammation and feverAction: Inhibition of prostaglandin synthesisDose/Route: 200-400-mg q4-6h POSide Effects: dizziness,... Classification: Antiinflammatory-analgesic, antipyreticUse: Relief of mild/moderate pain, reduce inflammation and feverAction: Inhibition of prostaglandin synthesisDose/Route: 200-400-mg q4-6h POSide Effects: dizziness, abdominal pain,rash, thirstContraindications: aspirin hypersensitivity, treatment of perioperative pain, can increase risk of GI bleeding, ulcersNursing Implications: Administer with food to reduce GI irritation, encourage upright position for 15-30 minutes, avoid if breast-feeding

Classification: Antihistamine. Use: Treats high blood pressure. Action: Targets bacteria. Dose/Route: 500mg every 12 hours. Side Effects: Nausea, headaches, dry... Classification: Antihistamine. Use: Treats high blood pressure. Action: Targets bacteria. Dose/Route: 500mg every 12 hours. Side Effects: Nausea, headaches, dry mouth. Contraindications: None. Nursing Implications: None.

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5. What is the classification and use of Toradol (Ketorolac tromethamine)?

Antidepressant - Management of depression

Antibiotic - Treatment of bacterial infections

Classification: Analgesic, antiinflammatory Use: Short-term relief of pain for up to 5 daysAction: Analgesic activity appears related to inhibition of... Classification: Analgesic, antiinflammatory Use: Short-term relief of pain for up to 5 daysAction: Analgesic activity appears related to inhibition of prostaglandin synthesisDose/Route: Im/IV: 15,30 mg/ml doseTablets: 10mg q4-6hSide Effects: dizziness, drowsiness, hypertension, impaired comfortContraindications: hypersensitivity, labor/delivery, nursing mothers, epidural/intraecal administrationNursing Implications: administer with food/milk, monitor for side effects

Antihistamine - Allergy relief for seasonal allergies

Toradol (Ketorolac tromethamine) is classified as an analgesic and antiinflammatory medication used for short-term relief of pain for up to 5 days.

Explanation

Toradol (Ketorolac tromethamine) is classified as an analgesic and antiinflammatory medication used for short-term relief of pain for up to 5 days.

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6. What is the use of Methergine?

Prevention of diabetes mellitus

Treatment of migraine headaches

Classification: oxytoxicUse: Treatment/prevention of postpartum hemorrhage due to uterine atony, may be given second stage of labor following delivery of... Classification: oxytoxicUse: Treatment/prevention of postpartum hemorrhage due to uterine atony, may be given second stage of labor following delivery of anterior shoulderAction: increases uterine contraction force and frequencyDose/Route: 0.2 mg PO tid-qid up to 1wk OR 0.2 mg IM q2-4h prn up to 5 dosesSide Effects: headache, hypertension, possible symptoms of ergot poisoningContraindications:hypersensitivity, threatened spontaneous abortionNursing Implications: Caution with use, not routinely used before delivery, have emergency equipment available animal studies show adverse fetal effects

Treatment of high blood pressure

Methergine is used specifically for the treatment/prevention of postpartum hemorrhage due to uterine atony. It is not used for the treatment of high blood pressure, migraine headaches, or prevention of diabetes mellitus.

Explanation

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7. What is the classification and use of morphine injection?

Antihistamine for allergic reactions

Diuretic for high blood pressure

Classification: AnalgesicUse: Relief on moderate to severe painAction: interacts w/ various opioid receptors, producing analgesia and sedation (opioid agonist)Dose/Route: 10-15... Classification: AnalgesicUse: Relief on moderate to severe painAction: interacts w/ various opioid receptors, producing analgesia and sedation (opioid agonist)Dose/Route: 10-15 mg epidural one timeSide Effects: oxygen saturation decrease, hypotension, urinary retention, constipation.Contraindications: hypersensitivity, respiratory depression asthma, upper airway obstruction, head trauma, labor and deliveryNursing Implications: Safe with lactation, monitor for possible adverse fetal effects

Antibiotic used to treat infections

Morphine injection is classified as an analgesic and is used for relief of moderate to severe pain.

Explanation

Morphine injection is classified as an analgesic and is used for relief of moderate to severe pain.

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8. What is Nubain (Nalbuphine hydrochloride) used for?

Antibiotic for urinary tract infections

Treatment of hypertension

Classification: AnalgesicUse: Reliefe of moderate/severe pain, preop sedationAction: not determined, possible activity in subcortical areas in brainDose/Route: 10mg/70kg weight q3-6h... Classification: AnalgesicUse: Reliefe of moderate/severe pain, preop sedationAction: not determined, possible activity in subcortical areas in brainDose/Route: 10mg/70kg weight q3-6h IM/Iv/SC, do not exceed 20mg per doseSide Effects: sedation, dizziness, vertigo, autonomic responses, possible rashContraindications: hypersensitivity, use caution in breast-feeding mothers due to small amount of drug in the milkNursing Implications: caution with lactation

Management of diabetes

Nubain (Nalbuphine hydrochloride) is classified as an analgesic and is primarily used for the relief of moderate/severe pain.

Explanation

Nubain (Nalbuphine hydrochloride) is classified as an analgesic and is primarily used for the relief of moderate/severe pain.

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9. What is the classification and use of Phenergan injection?

Classification: AntihistamineUse: Symptomatic treatment of allergic disorders medicated by histamine, pain caused by childbirthAction: non-selectively antagonizes central and peripheral histamine... Classification: AntihistamineUse: Symptomatic treatment of allergic disorders medicated by histamine, pain caused by childbirthAction: non-selectively antagonizes central and peripheral histamine H1 receptors; possesses anticholinergic properties, resulting in antiemetic and sedative effects Dose/Route: 25-50 mg PO/IM/IV x1Side Effects: drowsiness, confusion, sedation, blurred vision, disorientationCOntraindications: hypersensitvity, neonates,nursing mothers, lower respiratory tract symptomsNursing Implications: Avoid breast-feeding; caution, results show adverse fetal effects

Classification: NSAID. Use: Pain relief and anti-inflammatory purposes.

Classification: Steroid. Use: Immune system suppression and inflammation reduction.

Classification: Antibiotic. Use: Treatment of bacterial infections.

Phenergan injection is classified as an antihistamine and is used for the symptomatic treatment of allergic disorders mediated by histamine and pain caused by childbirth.

Explanation

Phenergan injection is classified as an antihistamine and is used for the symptomatic treatment of allergic disorders mediated by histamine and pain caused by childbirth.

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10. What is the role of Pitocin?

To manage cardiac arrhythmias

To reduce postpartum hemorrhage

To treat hypertension

Classification: OxytocicsUse:to induce labor, strengthen labor contractions during childbirth, control bleeding after childbirth, or to induce an abortion.Action: binds to... Classification: OxytocicsUse:to induce labor, strengthen labor contractions during childbirth, control bleeding after childbirth, or to induce an abortion.Action: binds to oxytocin receptors in myometrium, increasing intracellular Ca and stimulating uterine contractionsDose/Route: Postpartum: IV 10-40unit in 100ml ; Im 3-10unit after delivery of placentaAntepartum: Start IM/IV at 1-2mU/m slowly increase until contractions reach desired rateSide Effects: Cardiac arrhythmia,hypertensive episodes, postpartum hemorrhage, fetal brachycardia Contraindication: pregnancy, vaginal delivery, unfavorable fetal position, cephalopelvic disproportion fetal distress when delivery not imminentNursing Implications: Caution with fetal position and maturity, monitor mother and fetal VS, Safety precautions(uterine rupture/fetal distress)

Pitocin is primarily used to induce labor, strengthen labor contractions during childbirth, control bleeding after childbirth, or to induce an abortion. It is not used to treat hypertension, reduce postpartum hemorrhage, or manage cardiac arrhythmias.

Explanation

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11. What is the use of Rhogam (Rh-D immune globulin)?

A) Treatment for hypertension

C) Anticoagulant therapy for deep vein thrombosis

B) Pain management in postoperative patients

Classification: ImmunosuppresantUse: used to suppress antibody formation in women with Rh blood after abortion/pregnancy termination up to and including week... Classification: ImmunosuppresantUse: used to suppress antibody formation in women with Rh blood after abortion/pregnancy termination up to and including week 12 of gestation unless father has Rh- blood. Also used to suppress antibody formation in woman with Rh- blood after delivery, abdominal trauma during pregnancyAction: exact mechanism of action unknown; suppresses immune response of Rh-negative pts to Rh-positive RBCsDose/ Route: Antepartum:300 mcg IM x1 at 28 wk gestation, then 300 mcg IM x1 w/in 72h of deliveryPostpartum: 300 mcg IM x1 w/in 72h of deliverySide Effects: Headache, lethargy, myalgia, localized stiffnessContraindications: hypersensitivity, Ph positive patients, Iv administration, antepartum prophylaxis at week 28Nursing Implications: Do not administer to infant, proceed with caution with lactation.

Rhogam is specifically used to suppress antibody formation in women with Rh blood after abortion/pregnancy termination or delivery, and is not indicated for the treatment of hypertension, pain management, or anticoagulant therapy for deep vein thrombosis.

Explanation

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12. What is the classification and use of Dulcolax suppository?

Classification: Steroid. Use: Treatment of inflammation. Action: Suppression of immune response. Dose/Route: 4mg daily. Side effects: weight gain, mood changes,... Classification: Steroid. Use: Treatment of inflammation. Action: Suppression of immune response. Dose/Route: 4mg daily. Side effects: weight gain, mood changes, increased risk of infection. Contraindications: Active infections, uncontrolled diabetes, glaucoma. Nursing Implications: Monitor for signs of adrenal insufficiency.

Classification: Antibiotic. Use: Treatment of bacterial infections. Action: Inhibition of bacterial growth. Dose/Route: 500mg twice a day. Side effects: nausea,... Classification: Antibiotic. Use: Treatment of bacterial infections. Action: Inhibition of bacterial growth. Dose/Route: 500mg twice a day. Side effects: nausea, diarrhea, allergic reactions. Contraindications: Severe renal impairment, history of tendon problems, myasthenia gravis. Nursing Implications: Monitor for signs of superinfection.

Classification: Antihistamine. Use: As a sleep aid. Action: Blockade of histamine receptors. Dose/Route: 10-20mg before bedtime. Side effects: dry mouth,... Classification: Antihistamine. Use: As a sleep aid. Action: Blockade of histamine receptors. Dose/Route: 10-20mg before bedtime. Side effects: dry mouth, drowsiness, blurred vision. Contraindications: Glaucoma, urinary retention, severe liver disease. Nursing Implications: Avoid alcohol consumption.

Classification: LaxativeUse: produce a BM with a soft, formed stoolAction: Directly stimulates peristaltic activity of the intestinal tract, increase fluid... Classification: LaxativeUse: produce a BM with a soft, formed stoolAction: Directly stimulates peristaltic activity of the intestinal tract, increase fluid level that results in defecation. Used for general constipationDose/Route: 5-15mg single dose dailySide effects: diarrhea, fatigue, risk impaired skin integrity, risk for deficient fluid volumeContraindications:Acute surgical abdomen, undiagnosed pain, appendicitis, fecal impaction, obstruction of intestinal tractNursing Implications: Use caution when pregnant, avoid breast-feeding, encourage fluid intake and increased activity

The correct answer provides detailed information about the classification, use, action, dose/route, side effects, contraindications, and nursing implications of Dulcolax suppository, highlighting its role as a laxative for constipation. The three incorrect answers offer alternatives with different classifications, uses, actions, side effects, and contraindications to test the knowledge of the test-taker.

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13. What is the use of Magnesium Sulfate?

Classification: Anticoagulant Use: prevent blood clot formation Action: Inhibition of blood clotting factors Dose/Route: 10mg SC daily Side Effects: bruising,... Classification: Anticoagulant Use: prevent blood clot formation Action: Inhibition of blood clotting factors Dose/Route: 10mg SC daily Side Effects: bruising, bleeding, anemia Contraindications: not recommended for patients with bleeding disorders Nursing Implications: Monitor for signs of bleeding, assess for signs of thrombosis

Classification: Antibiotic Use: treat bacterial infections Action: Inhibition of bacterial cell wall synthesis Dose/Route: 500mg IV q8h Side Effects: diarrhea,... Classification: Antibiotic Use: treat bacterial infections Action: Inhibition of bacterial cell wall synthesis Dose/Route: 500mg IV q8h Side Effects: diarrhea, rash, allergic reactions Contraindications: not recommended for viral infections Nursing Implications: Monitor for signs of infection improvement, assess for superinfection

Classification: Analgesic Use: treat headache and muscle pain Action: Stimulates central nervous system Dose/Route: 2g PO q6h Side Effects: nausea,... Classification: Analgesic Use: treat headache and muscle pain Action: Stimulates central nervous system Dose/Route: 2g PO q6h Side Effects: nausea, vomiting, dizziness Contraindications: not recommended for pregnant women Nursing Implications: Assess for pain level before administration, monitor for adverse reactions

Classification: AnticonvulsantUse: prevent seizures in severe pre-eclampsia, eclampsia, or toxemia of pregnancy.Action: Inhibition of peropheral neuromuscular transmissionDose/Route: 4g(1-5g) IM q4h... Classification: AnticonvulsantUse: prevent seizures in severe pre-eclampsia, eclampsia, or toxemia of pregnancy.Action: Inhibition of peropheral neuromuscular transmissionDose/Route: 4g(1-5g) IM q4h prn Side Effects: dressed reflexes, flushing, drowsiness, hypotensionContraindications: do not administer within 2h before delivery in toxemic pregnant womenNursing Implications: Monitor signs for seizure activity, emotional support, patellar reflex positive before dose given

The correct answer details the specific use, dosage, side effects, contraindications, and nursing implications of Magnesium Sulfate for preventing seizures in severe pre-eclampsia, eclampsia, or toxemia of pregnancy. The incorrect answers provide alternative uses, actions, side effects, and contraindications that do not align with the characteristics of Magnesium Sulfate.

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