The nurse cares for a client at 30 weeks gestation at risk of delivering preterm. Which of the following medication would the nurse anticipate the primary healthcare provider (PHCP) to prescribe?
The nurse cares for a client at 30 weeks gestation at risk of delivering preterm. Which of the following medication would the nurse anticipate the primary healthcare provider (PHCP) to prescribe?
A. Penicillin G
[10%]
B. Nifedipine
[39%]
C. Oxytocin
[15%]
D. Misoprostol
[36%]
Statistics
Subject/Lesson
Subject
Maternal & Newborn Health
Lesson
Antepartum
Client Need
Test Plan
Pharmacological and Parenteral Therapies
Related Topic
Expected Actions/Outcomes
Item Type
Item Type
Application
Explanation
Choice B is correct. Nifedipine is a calcium channel blocker indicated as a tocolytic in preterm labor. This medication relaxes smooth muscle and reduces uterine contractions.
Choices A, C, and D are incorrect. Penicillin G is indicated in treating maternal infections such as syphilis or infective endocarditis. Oxytocin would be contraindicated for preterm labor as it causes uterine contractions. Misoprostol is another medication that causes uterine contractions and is frequently utilized in miscarriages. This medication would not inhibit preterm labor.
Related Videos
6 Key Topics
Tocolytic Medications
6.13 Obstetric & Labor Medications
Preterm Birth
30.2 Preterm Labor & Medications
Tocolytics & Oxytotics
30.2 Preterm Labor & Medications
Additional Info
✓ Nifedipine is a tocolytic agent indicated for the prevention of preterm labor.
✓ This medication is given orally and has very few adverse fetal effects.
✓ Maternal blood pressure should be monitored before and after this therapy because of the risk of maternal hypotension.
✓ Considering this medication may cause dizziness, the client should be advised to change positions slowly.
