A. A blood pressure of 94/60 is low but not typically a contraindication for Terbutaline administration.
A pulse of 132 is high and could be a sign of tachycardia, which is a known side effect of Terbutaline, potentially making the use of this medication unsafe.
Uterine contractions (UCs) every 10 minutes do not indicate any immediate concern or contraindication for Terbutaline.
A category 1 FHR is reassuring and would not contraindicate the use of Terbutaline.
The Correct Answer is C
A. While assessing blood pressure is important, the first priority is to address potential uterine atony, which is the most common cause of postpartum hemorrhage.
B. Bladder distention could be a contributing factor, but uterine massage is the first step to manage uterine tone and control bleeding.
C. Massaging the fundus is the first action to take when the patient is saturating a pad quickly after delivery, as this helps stimulate uterine contractions to control bleeding.
D. Preparing to administer oxytocic medication may be necessary if uterine massage does not effectively control bleeding, but it should come after assessing the uterus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C, A, D, B
Explanation
Drying the baby is the most important first step to prevent heat loss and initiate thermoregulation. Suctioning is needed if there are signs of airway obstruction but is secondary to ensuring the baby’s warmth. Applying identification bracelets is necessary to ensure proper identification but is not as critical as ensuring the baby is warm and breathing. Teaching the mother cord care can be done after addressing more immediate concerns such as warmth and identification.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Explanation
Performing a vaginal examination is contraindicated in cases of unexplained vaginal bleeding, especially if placenta previa is suspected. It could disrupt the placenta, leading to severe hemorrhage.
Since the client is Rh-negative and there is a risk of fetal-maternal hemorrhage, administering RhoGAM is necessary to prevent Rh sensitization, which could affect future pregnancies.
While prenatal counseling is generally beneficial, it is non-essential in the acute management of vaginal bleeding and doesn't directly address the immediate clinical issue.
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