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Medications & Pharmacology in Midwifery Flashcards

6 cards from real CMA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. Iron supplementation during pregnancy is recommended primarily to prevent:

    Answer: Iron-deficiency anemia

    Pregnant women require additional iron to support increased blood volume and fetal/placental development, preventing iron-deficiency anemia.

  2. A nurse observes a laboring patient on oxytocin has 6 contractions in 10 minutes. The appropriate action is to:

    Answer: Decrease or discontinue oxytocin and notify the provider

    Tachysystole (>5 contractions in 10 minutes) requires oxytocin reduction or discontinuation to prevent uteroplacental insufficiency and fetal distress.

  3. Erythromycin eye ointment for newborns must be applied within how many hours of birth per most US state regulations?

    Answer: 2 hours

    Most US state regulations require erythromycin ophthalmic prophylaxis to be applied within 1–2 hours of birth to prevent ophthalmia neonatorum.

  4. Which medication is used to ripen the cervix by releasing prostaglandins via a controlled-release vaginal insert?

    Answer: Dinoprostone (Cervidil)

    Dinoprostone (Cervidil) is a prostaglandin E2 vaginal insert used for cervical ripening that can be removed if uterine hyperstimulation occurs.

  5. Carboprost (Hemabate) is a prostaglandin F2-alpha used for postpartum hemorrhage but is contraindicated in patients with:

    Answer: Asthma

    Carboprost can cause severe bronchospasm and is contraindicated in asthmatic patients; alternative uterotonics should be used.

  6. Prophylactic administration of oxytocin after delivery of the placenta is part of which management approach?

    Answer: Active management of the third stage of labor (AMTSL)

    Active management of the third stage of labor (AMTSL) includes prophylactic oxytocin, controlled cord traction, and uterine massage to reduce postpartum hemorrhage.