A nurse has administered methergine (methylergonovine) 0.2 mg to a grand multipara (G7, P6) who delivered vaginally 30 minutes earlier. Which of the following outcomes indicates that the medication is effective?
Pulse rate 80 and regular.
Fundus firm at umbilicus, lochia moderate.
Blood pressure 120/80.
Increase in prothrombin time.
The Correct Answer is B
Choice A rationale
A pulse rate of 80 and regular does not directly indicate Methergine's effectiveness. Normal pulse ranges from 60 to 100 beats per minute. This could result from overall stabilization rather than medication effect.
Choice B rationale
A firm uterine fundus at the umbilicus and moderate lochia indicate effective uterine contraction and hemostasis, reflecting successful intervention with Methergine in managing postpartum hemorrhage.
Choice C rationale
A blood pressure of 120/80 is within the normal adult range but does not specifically reflect Methergine's uterotonic action. Blood pressure monitoring is essential but not the primary efficacy indicator.
Choice D rationale
An increase in prothrombin time reflects coagulation changes but is unrelated to Methergine's mechanism of action. It focuses on hemostatic effects via uterine contractions rather than coagulation pathways.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Chlorhexidine is a broad-spectrum antiseptic effective against gram-positive and gram-negative bacteria. It is safe for patients allergic to betadine and reduces infection risks during catheter insertion.
Choice B rationale
Betadine, containing povidone-iodine, is contraindicated in patients with allergies to iodine. Using it could trigger allergic reactions, including anaphylaxis, compromising patient safety.
Choice C rationale
Sterile water lacks antiseptic properties and does not provide necessary antimicrobial activity to minimize infection risks, making it unsuitable for catheter insertion.
Choice D rationale
Alcohol wipes can cause tissue irritation and discomfort during catheter insertion. They are less effective against bacterial spores, reducing their efficacy for preventing infections in this context.
Correct Answer is B
Explanation
Choice A rationale
Placing the infant prone increases the risk of sudden infant death syndrome (SIDS), particularly for neonates. Supine positioning reduces this risk and is supported by evidence-based guidelines for infant care.
Choice B rationale
Tightly swaddling and dimming lights mimic the in utero environment, reducing overstimulation and promoting self-regulation. This is especially vital for neonates with neonatal abstinence syndrome (NAS), who are sensitive to external stimuli.
Choice C rationale
Providing excessive stimulation can exacerbate stress responses in neonates with NAS. This may manifest as increased crying, irritability, and tachycardia, worsening their fragile physiological state.
Choice D rationale
Feeding half-strength formula is not advised as it may cause inadequate caloric intake and impaired weight gain. Normal feeding practices, with proper intervals, are crucial to supporting healthy growth and development.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.