A nurse is assisting with an emergency cesarean delivery for a client who has placenta previa and is experiencing profuse bleeding.
Which of the following medications should the nurse anticipate administering to this client after delivery?
Methylergonovine (Methergine)
Carboprost tromethamine (Hemabate)
Misoprostol (Cytotec)
Terbutaline (Brethine)
The Correct Answer is C
The correct answer is choice C. Misoprostol (Cytotec). This medication is used to prevent postpartum hemorrhage (excessive bleeding after delivery) in women with placenta previa. Placenta previa is a condition where the placenta covers the opening of the cervix and can cause severe bleeding during pregnancy.
Choice A is wrong because Methylergonovine (Methergine) is a medication that stimulates uterine contractions and can increase bleeding in women with placenta previa.
Choice B is wrong because Carboprost tromethamine (Hemabate) is also a medication that causes uterine contractions and can worsen bleeding in women with placenta previa.
Choice D is wrong because Terbutaline (Brethine) is a medication that relaxes uterine muscles and can delay labor, but it does not prevent postpartum hemorrhage in women with placenta previa.
Normal ranges for blood loss after delivery are less than 500 mL for vaginal delivery and less than 1000 mL for cesarean delivery.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The nurse should assess the client’s blood pressure before administering methylergonovine because this medication can cause hypertension and vasoconstriction.The nurse should also monitor the client’s blood pressure after administration for any signs of hypertensive crisis.
Choice B.Temperature is wrong because methylergonovine does not affect the body temperature significantly.
However, the nurse should monitor the client’s temperature for any signs of infection or fever.
Choice C.Respiratory rate is wrong because methylergonovine does not affect the respiratory system significantly.
However, the nurse should monitor the client’s respiratory rate for any signs of distress or hypoxia.
Choice D.Oxygen saturation is wrong because methylergonovine does not affect the oxygen saturation significantly.
However, the nurse should monitor the client’s oxygen saturation for any signs of hypoxemia or cyanosis.
Methylergonovine is a uterine stimulant that helps prevent postpartum hemorrh
Correct Answer is ["A","B","C","D"]
Explanation
• Choice A: Administering oxytocin.Oxytocin is a uterotonic agent that stimulates uterine contractions and reduces bleeding from the placental site.It is the most effective intervention for preventing and treating postpartum hemorrhage.
• Choice B: Administering methylergonovine maleate.Methylergonovine maleate is another uterotonic agent that causes sustained uterine contraction and vasoconstriction.It can be used as an alternative or adjunct to oxytocin for postpartum hemorrhage.
• Choice C: Administering carboprost tromethamine.Carboprost tromethamine is a prostaglandin analog that induces strong and prolonged uterine contractions and decreases blood loss.
It can be used as a second-line treatment
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