Nursing Pharmacology Module Overview

Questions and Answers

What is a common side effect at the injection site for neonates?

Increased appetite

Soreness with edema (correct)

Rapid heartbeat

Nausea

What was the method of delivery for TA's baby?

C-section

Forceps delivery

Natural delivery

Vacuum extraction (correct)

What was TA's intent regarding breastfeeding?

To start breastfeeding immediately

To breastfeed for at least 3 months (correct)

To breastfeed for only 1 month

To exclusively formula feed

At what stage of labor was TA when her mother arrived at the hospital?

8 cm dilation Signup and view all the answers

What complication occurred during TA's delivery?

Episiotomy and fourth-degree laceration Signup and view all the answers

What is a potential concern given TA's living situation?

Her parents are providing support Signup and view all the answers

What should be ensured during infant breastfeeding to avoid complications?

Break suction with little finger after feeding Signup and view all the answers

Which medication is commonly used for postpartum systemic analgesia?

Ibuprofen Signup and view all the answers

What is the primary focus of nursing in the first few days postpartum?

Relieving uterine contraction pain Signup and view all the answers

What condition might increase afterbirth pains particularly in multiparous patients?

Uterine ischemia Signup and view all the answers

What is the purpose of an episiotomy during childbirth?

To enlarge the vaginal opening for delivery Signup and view all the answers

What acronym is used to assess the condition of the perineum after delivery?

REEDA Signup and view all the answers

Which analgesic is reserved for severe postpartum pain such as after cesarean delivery?

Narcotic agents Signup and view all the answers

What type of pain relief is recommended for perineal wounds and hemorrhoids after delivery?

Systemic analgesics and supportive measures Signup and view all the answers

What should be avoided to ensure that milk ducts are emptied during breastfeeding?

Limiting the nursing time Signup and view all the answers

Which medication is NOT typically used for postpartum pain relief?

Penicillin Signup and view all the answers

What is the recommendation from the American Academy of Pediatrics regarding hepatitis B immunization?

It should begin during the newborn period. Signup and view all the answers

What is the primary use of the hepatitis B vaccine in newborns?

To prevent future hepatitis B virus infections. Signup and view all the answers

What route is used for administering the hepatitis B vaccine to newborns?

Intramuscularly Signup and view all the answers

What is the appropriate dosage for the hepatitis B vaccine in newborns?

0.5 mL Signup and view all the answers

What is the expected outcome after three doses of the hepatitis B vaccine?

Approximately 90% will seroconvert. Signup and view all the answers

How long does protection last for those who seroconvert after the hepatitis B vaccination?

3-7 years Signup and view all the answers

What is a contraindication for the hepatitis B vaccine?

Hypersensitivity to any component of the vaccine. Signup and view all the answers

What is the vaccine category for hepatitis B regarding pregnancy?

Category C Signup and view all the answers

What is the safest way to administer the hepatitis B vaccine to infants?

In the thigh muscle (vastus lateralis). Signup and view all the answers

Which of the following statements is true regarding hepatitis B vaccination?

Vaccination is recommended regardless of maternal HBsAg status. Signup and view all the answers

What is the primary purpose of administering erythromycin ophthalmic ointment to newborns immediately after delivery?

To prevent gonococcal and chlamydial conjunctivitis Signup and view all the answers

Which of the following side effects may occur from the use of erythromycin ophthalmic ointment?

Chemical conjunctivitis Signup and view all the answers

What is the administration route for Vitamin K1 in newborns?

Intramuscular Signup and view all the answers

What is the recommended dosage of Vitamin K1 for newborns?

0.5-1 mg Signup and view all the answers

Which condition does Vitamin K1 specifically help to prevent in newborns?

Hemorrhagic disease Signup and view all the answers

How soon should erythromycin ophthalmic ointment be administered to a newborn after delivery?

Within 1 hour Signup and view all the answers

What is the main action mechanism of erythromycin in the ointment?

Antibacterial action Signup and view all the answers

What specific bacterial infections does erythromycin ophthalmic ointment target?

Gonococcal and chlamydial infections Signup and view all the answers

What can result from untreated gonococcal conjunctivitis in newborns?

Blindness Signup and view all the answers

Why might some newborns specifically require Vitamin K1 supplementation?

Due to maternal intake of oral anticoagulants Signup and view all the answers

What is the primary goal of the NCM 106 module in pharmacology?

To provide a comprehensive introduction to pharmacological concepts Signup and view all the answers

Which outcome focuses on the client’s relationship with medication?

Evaluate compliance and response to medications prescribed Signup and view all the answers

Which of the following is NOT an objective of the NCM 106 module?

Promoting extracurricular drug-related activities Signup and view all the answers

What type of collaboration is emphasized in medication administration?

Intra-agency and inter-agency collaboration Signup and view all the answers

Which aspect does this module aim to integrate into nursing pharmacology?

Health sciences and humanities together with physical and social sciences Signup and view all the answers

What is a key focus when documenting a client's response to drug therapy?

Thoroughly documenting conditions and outcomes Signup and view all the answers

Which technique is crucial for ensuring effective medication administration?

Using appropriate communication and interpersonal strategies Signup and view all the answers

Which organization produced the NCM 106 module?

University of San Agustin Signup and view all the answers

What is emphasized in managing resources for drug administration?

Efficient and effective management of various resources Signup and view all the answers

Study Notes

Module Overview

Focuses on Pharmacology within nursing education.
Integrates concepts from various sciences and humanities relevant to medication use.

Module Outcomes

Educate clients on drug therapy effectively.
Assess client compliance and medication response.
Ensure safe administration of medications using clinical evidence.
Document outcomes related to drug therapy clearly.
Efficient resource management in drug administration (human, physical, financial, time).
Promote effective communication with clients and support systems.
Facilitate collaboration across agencies and disciplines for medication administration.

Nursing Care for Postpartum Patients

Avoid restricting infant nursing time to prevent milk duct issues.
Ensure proper feeding positions to minimize nipple soreness.
Use a finger to break suction gently after feeding to protect the nipple.

Pain Management in Postpartum

Expect "afterbirth pains" during early postpartum period due to uterine contractions.
Nonsteroidal agents may relieve discomfort; narcotics are for severe pain (e.g., after a cesarean).
Common analgesics include:
- Acetaminophen (Tylenol)
- Ibuprofen (Motrin)
- Meperidine (Demerol)
- Morphine sulfate
- Nalbuphine

Managing Pain from Perineal Wounds

Delivery may cause pressure injuries to the perineal area, leading to pain and swelling.
Assess perineum using the REEDA method (Redness, Ecchymosis, Edema, Discharge, Approximation).

Immediate Newborn Drug Administration

Erythromycin ophthalmic ointment: Prevents gonococcal and chlamydial conjunctivitis; may cause mild conjunctival irritation.
Vitamin K1 (Phytonadione): Administered IM to prevent hemorrhagic disease in newborns.

Immunization Protocols

Hepatitis B Vaccine: Essential for all newborns; given IM within 12 hours of birth, followed by two additional doses.
Provides long-term protection against hepatitis B virus, associated with severe liver disease and cancer.
Side effects may include injection site soreness.

Case Analysis Activity

An exercise for nursing students on prioritization and diagnosing for both mother and newborn post-delivery.
Emphasizes critical thinking and application of pharmacological knowledge to real-life scenarios.

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Description

This quiz covers the essentials of pharmacology within nursing education, focusing on drug therapy and its implications for postpartum care. It highlights the integration of various sciences and humanities, client education, effective communication, and management of medication resources. Test your knowledge on safe administration practices and pain management in postpartum patients.