Medications & Pharmacology in Midwifery Flashcards
6 cards from real CMA practice questions. Tap to flip, then mark Knew It or Still Learning โ missed cards come back until you master them.
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Which medication is the first-line treatment for postpartum hemorrhage caused by uterine atony?
Answer: Oxytocin (Pitocin)
Oxytocin administered IV or IM immediately after delivery of the placenta is the first-line uterotonic for preventing and treating uterine atony.
Methylergonovine (Methergine) is contraindicated in patients with:
Answer: Hypertension
Methergine causes vasoconstriction and is absolutely contraindicated in hypertensive patients due to the risk of severe blood pressure elevation.
Vitamin K is administered to newborns shortly after birth to prevent:
Answer: Hemorrhagic disease of the newborn (VKDB)
Newborns have low vitamin K stores and immature gut flora; intramuscular vitamin K prevents vitamin K deficiency bleeding (VKDB).
Which tocolytic medication works by blocking calcium channels to inhibit uterine contractions?
Answer: Nifedipine
Nifedipine, a calcium channel blocker, reduces uterine contractility by preventing calcium influx into myometrial cells.
The recommended dose of folic acid supplementation to reduce neural tube defect risk in pregnancy is:
Answer: 400 mcg/day
The CDC recommends 400 mcg of folic acid daily beginning at least one month before conception and throughout the first trimester.
Magnesium sulfate is used in obstetrics for which two indications?
Answer: Seizure prophylaxis in preeclampsia and fetal neuroprotection in preterm birth
Magnesium sulfate is used to prevent eclamptic seizures in preeclampsia and to provide fetal neuroprotection when preterm birth is imminent before 32 weeks.