TI Maternal Newborn chp 10
BETHAMETAZONE AND PRETERM LABOR
2023 UPDATE A+
● Medications - ANS-
◯ Nifedipine (Procardia, Adalat) - ANS-■
... [Show More] Classification and Therapeutic Intent
☐ Nifedipine is a calcium channel blocker that is used to suppress contractions by
inhibiting calcium from entering smooth muscles.
■ Nursing Considerations
☐ Monitor for headache, flushing, dizziness, and nausea. These usually are related to
orthostatic hypotension that occurs with administration.
☐ Should not be administered concurrent with magnesium sulfate.
■ Client Education
☐ Instruct the client to slowly change positions from supine to upright and to sit until
dizziness disappears.
☐ Inform the client to maintain adequate hydration to counter hypotension.
◯ Magnesium sulfate - ANS-■ Classification and Therapeutic Intent
☐ Magnesium sulfate is a commonly used tocolytic that relaxes the smooth muscle of
the uterus and thus inhibits uterine activity by suppressing contractions.
■ Nursing Considerations
☐ Monitor the client closely. Tocolytic therapy should be discontinued immediately if the
client exhibits manifestations of pulmonary edema, which includes chest pain, shortness
of breath, respiratory distress, audible wheezing and crackles, and/or a productive
cough containing blood-tinged sputum.
☐ Monitor for adverse effects.
☐ Monitor for magnesium sulfate toxicity, and discontinue for any of the following
adverse effects: loss of deep tendon reflexes, urinary output less than 30 mL/hr,
respiratory depression less than 12/min, pulmonary edema, and/or chest pain.
☐ Administer calcium gluconate as an antidote for magnesium sulfate toxicity.
☐ Contraindications for tocolysis include active vaginal bleeding, dilation of the cervix
greater
than 6 cm, chorioamnionitis, greater than 34 weeks of gestation, and acute fetal
distress.
■ Client Education
☐ Instruct the client to notify the nurse of blurred vision, headache, nausea, vomiting, or
difficulty breathing.
◯ Indomethacin (Indocin) - ANS-■...
CONTINUES... [Show Less]