A nurse is assisting in the care of a client who gave birth 1 hour ago and is experiencing excessive vaginal bleeding.
Which of the following medications should the nurse anticipate the provider will prescribe?
Magnesium sulfate.
Tranexamic acid.
Betamethasone.
Terbutaline.
The Correct Answer is B
Choice A rationale
Magnesium sulfate is used to manage preeclampsia and prevent seizures, not for treating postpartum hemorrhage. It does not address the causes of excessive vaginal bleeding post-birth.
Choice B rationale
Tranexamic acid is an antifibrinolytic agent that helps reduce bleeding by preventing the breakdown of blood clots, making it suitable for managing postpartum hemorrhage.
Choice C rationale
Betamethasone is a corticosteroid used to mature fetal lungs in preterm labor, not for treating postpartum hemorrhage. It has no role in managing excessive bleeding after birth.
Choice D rationale
Terbutaline is a tocolytic used to delay preterm labor by relaxing uterine muscles. It is not used to manage postpartum hemorrhage and excessive vaginal bleeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Car seats should not be purchased used as their history is unknown. There might be unseen damages or recalls that could compromise the safety of the infant.
Choice B rationale
The chest clip should be at the infant's armpit level, not shoulder level. Incorrect positioning can affect the restraint system's efficiency.
Choice C rationale
Infants should not wear coats in their car seats because bulky clothing can prevent the harness from fitting snugly, reducing its effectiveness in a crash.
Choice D rationale
Infant car seats should remain rear-facing until at least the age of 2 or until they reach the maximum weight/height limit of the seat, not turn forward-facing at the first birthday.
Correct Answer is A
Explanation
Choice A rationale
Pelvic floor physical therapy helps strengthen the pelvic floor muscles, which can significantly reduce or eliminate urge incontinence in postpartum clients. These specialized exercises target muscle control and bladder function, providing a non-invasive first-line treatment.
Choice B rationale
A urologist specializes in the urinary tract system, but referral is usually not the first step. Initial non-invasive interventions, such as pelvic floor therapy, are typically recommended before consulting a specialist.
Choice C rationale
Sports medicine focuses on physical fitness and the treatment of sports-related injuries. It is not the appropriate referral for treating postpartum urge incontinence, which specifically involves the pelvic floor muscles and urinary system.
Choice D rationale
A primary care physician can provide general medical care, but specialized interventions like pelvic floor therapy are more effective for addressing the specific issue of urge incontinence postpartum.
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