N395 Maternity Meds- Infants

Description

NCLEX Nursing (N395 Maternity) Flashcards on N395 Maternity Meds- Infants, created by Kate Parvey on 21/12/2016.
Kate Parvey
Flashcards by Kate Parvey, updated more than 1 year ago
Kate Parvey
Created by Kate Parvey almost 8 years ago
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Resource summary

Question Answer
Erythromycin/ Eye Ointment Route & Dose On Eyes A "ribbon" in each eye: 0.5% erythromycin in ophthalmic ointment
Erythromycin/ Eye Ointment Class & Action Prophylactic antibiotic to newborn eyes Given to prevent blindness (ophthalmic neonatorum (ON) in infant r/t contact with gonorrhea or chlamydia in birth canal
Erythromycin/ Eye Ointment Side Effects & LR/PR Blurs vision of neonate Withhold until parents have held baby en face as it blurs baby's vision Pregnancy clinical considerations: may use during pregnancy; no known risk of fetal harm based on human data Lactaction Clinical Considerations: probably safe; limited information in animals and/or humans demonstrate no risk/minimal risk of adverse effects to infant/breast milk production; caution advised
Hepatitis B Vaccine/ HBIG Route & Dose IM Thigh .5mL
Hepatitis B Vaccine/ HBIG Class & Action Vaccine Prophylaxis treatment against this viral disease that attacks the liver * Most commonly given a prophylaxis therapy for infants born to HepB surface antigen positive mother. The carrier state can be prevented in about 75% of newborns given HBIG immediately after birth (1hour). Potential carrier infant should be immunix=zed with HepB vaccine (.5mL IM) within 12 hours (separate site) and again at 1 and 6 months.
Hepatitis B Vaccine/ HBIG Side Effects & LR/PR Pain at injection site, erythema, rash L2/C
Lidocaine 1% Route & Dose TOP, subdermal 0.5%- 3.1%
Lidocaine 1% Class & Action Antiarrhythmic and local anesthetic local anesthesia for episiotomy and newborn male circumcision
Lidocaine 1% Side Effects & LR/PR no listed side effects L2/B
Vitamin K Route & Dose IM 0.5- 1mg IM X1
Vitamin K Class & Action Vitamin Prevention of hemorrhagic disease of newborn (HDN) Exclusive breastfeeding may not provide sufficient vitamin K, pro provide normal clotting factors, particularly in the premature infant or those with MA absorptive disorders
Vitamin K Side Effects & LR/PR Vitamin K transfer to milk is low L1/C
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