Podcast
Questions and Answers
What is the correct route of administration for beractant?
What is the correct route of administration for beractant?
- Intravenous
- Intramuscular
- Subcutaneous
- Intratracheal (correct)
How should beractant be prepared prior to administration?
How should beractant be prepared prior to administration?
- Store at room temperature.
- Shake the vial vigorously.
- Warm to 100°F before use.
- Swirl the vial gently. (correct)
What is the maximum number of doses of beractant that can be administered within 48 hours?
What is the maximum number of doses of beractant that can be administered within 48 hours?
- 8 doses
- 6 doses
- 2 doses
- 4 doses (correct)
What is a special consideration when administering beractant?
What is a special consideration when administering beractant?
What should be monitored in infants receiving beractant?
What should be monitored in infants receiving beractant?
At what temperature should beractant be stored?
At what temperature should beractant be stored?
What is a possible adverse reaction of administering ergotamine?
What is a possible adverse reaction of administering ergotamine?
What condition is contraindicated when using ergotamine?
What condition is contraindicated when using ergotamine?
What is a key reason for careful monitoring of blood pressure during ergotamine administration?
What is a key reason for careful monitoring of blood pressure during ergotamine administration?
How frequently can oral doses of ergotamine be administered?
How frequently can oral doses of ergotamine be administered?
What effects does ergotamine primarily have on the body?
What effects does ergotamine primarily have on the body?
What is the recommended route of administration for ergotamine in acute emergencies?
What is the recommended route of administration for ergotamine in acute emergencies?
What symptom may occur as an adverse effect of ergotamine?
What symptom may occur as an adverse effect of ergotamine?
What should not be used concurrently with ergotamine?
What should not be used concurrently with ergotamine?
During which stage of labor does ergotamine primarily affect smooth muscle contractions?
During which stage of labor does ergotamine primarily affect smooth muscle contractions?
Which symptom is NOT a recorded adverse reaction of ergotamine?
Which symptom is NOT a recorded adverse reaction of ergotamine?
What does a rating of 4 indicate regarding the identification of nursing problems?
What does a rating of 4 indicate regarding the identification of nursing problems?
What is the significance of following the PES format for nursing diagnosis?
What is the significance of following the PES format for nursing diagnosis?
What would a rating of 1 indicate in the evaluation of nursing problems?
What would a rating of 1 indicate in the evaluation of nursing problems?
Which aspect is least likely addressed if only medical terminology is used in the nursing diagnosis?
Which aspect is least likely addressed if only medical terminology is used in the nursing diagnosis?
In a nursing diagnosis, what role do significant cues play?
In a nursing diagnosis, what role do significant cues play?
What is an indicator of correctly identifying nursing problems based on the content provided?
What is an indicator of correctly identifying nursing problems based on the content provided?
Why is it important to differentiate between nursing and medical terminology?
Why is it important to differentiate between nursing and medical terminology?
What might be the consequence of stating cause and effect incorrectly in a nursing diagnosis?
What might be the consequence of stating cause and effect incorrectly in a nursing diagnosis?
What characterizes a nursing problem that is identified with a rating of 2?
What characterizes a nursing problem that is identified with a rating of 2?
What is the primary purpose of dinoprostone in labor induction?
What is the primary purpose of dinoprostone in labor induction?
How is the dinoprostone cervical gel typically administered?
How is the dinoprostone cervical gel typically administered?
What is the controlled-release approach of dinoprostone in the vaginal insert?
What is the controlled-release approach of dinoprostone in the vaginal insert?
What side effect may patients experience with dinoprostone use?
What side effect may patients experience with dinoprostone use?
In what form is dinoprostone available for cervical ripening?
In what form is dinoprostone available for cervical ripening?
What is the active component of dinoprostone used in cervical ripening?
What is the active component of dinoprostone used in cervical ripening?
What is the recommended dosage of dinoprostone cervical gel for intracervical use?
What is the recommended dosage of dinoprostone cervical gel for intracervical use?
What should be monitored after administering dinoprostone?
What should be monitored after administering dinoprostone?
Which of the following best describes the potential mechanism of action of PGE2 in cervical ripening?
Which of the following best describes the potential mechanism of action of PGE2 in cervical ripening?
What is the pregnancy category of dinoprostone?
What is the pregnancy category of dinoprostone?
What is the primary use of IV oxytocin during labor?
What is the primary use of IV oxytocin during labor?
Why are ergot alkaloids not recommended during labor?
Why are ergot alkaloids not recommended during labor?
Which route of administration is most common for methylergonovine maleate?
Which route of administration is most common for methylergonovine maleate?
What is the goal of surfactant replacement therapy in preterm infants?
What is the goal of surfactant replacement therapy in preterm infants?
In which situation is IV administration of methylergonovine maleate appropriate?
In which situation is IV administration of methylergonovine maleate appropriate?
How does oxytocin affect a patient experiencing uterine inertia?
How does oxytocin affect a patient experiencing uterine inertia?
What condition can synthetic surfactant therapy help to prevent in preterm infants?
What condition can synthetic surfactant therapy help to prevent in preterm infants?
The effect of ergonovine on the uterus post-delivery includes which of the following?
The effect of ergonovine on the uterus post-delivery includes which of the following?
What is the primary component of surfactant that aids in its function?
What is the primary component of surfactant that aids in its function?
What defines uterine inertia?
What defines uterine inertia?
Study Notes
Nursing Diagnosis Criteria
- Nursing problems must be identified using NANDA terminology.
- Correct identification follows the PES (Problem, Etiology, Symptoms) format.
- Support for nursing diagnosis requires appropriate cues.
- Poor performance reflects incorrect terminology usage, insufficient significant details, or failure to identify problems.
Prostaglandins
- Dinoprostone (PGE2) used for labor induction via intracervical or intravaginal methods.
- Promotes cervical effacement and softening by enhancing submucosal water content and collagen degradation.
- Administered via:
- Cervical gel: 0.5 mg dinoprostone (Prepidil gel) intra-cervically; repeat in 6-12 hours if necessary.
- Vaginal insert: Contains 10 mg controlled-release dinoprostone (Cervidil), delivering at 0.3 mg/h.
Drugs Enhancing Uterine Muscle Contractility
-
Dinoprostone
- Route: Intracervical gel (0.5 mg) or IV infused slowly.
- Uses: Repairing cervix, inducing contractions, controlling third-stage labor.
- Side effects: Reactive nonstress tests, transient hypertension, palpitations, nausea.
- Pregnancy category: C.
-
Oxytocin
- Administered IV for labor augmentation or induction.
- Aids in the contraction of uterine smooth muscle when contractions are inadequate.
- Lower starting doses recommended for patients with uterine inertia.
-
Ergot Alkaloids
- Acts by direct stimulation of smooth-muscle-cell receptors.
- Not used during labor due to risk of sustained, potentially harmful contractions.
- Commonly prescribed methylergonovine maleate (Methergine) for postpartum hemorrhage control, given via IM route.
Surfactant Therapy in Preterm Birth
- Used for managing respiratory distress syndrome (RDS) in preterm infants.
- Surfactant therapy enhances pulmonary function by reducing surface tension in alveoli.
- Beractant (Survanta)
- Route: 4 mL/kg divided doses intratracheally, with each dose delivered in different positions.
- Administration: Should be swirled gently, not shaken; store appropriately at 36° to 46°F.
- Timing: Ideally given within 15 minutes of birth, with a maximum of 4 doses; repeat every 6 hours if necessary.
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Description
This quiz encompasses the assessment criteria used for the Nursing Program at the University of San Agustin. It provides insight into the evaluation process for students in the College of Health and Allied Medical Professions. Understanding these criteria can help students prepare for their assessments effectively.
