A nurse is caring for a client who has just delivered a baby and is experiencing postpartum hemorrhage due to uterine atony.
Which of the following medications should the nurse anticipate administering? Select all that apply:
Methylergonovine maleate (Methergine)
Magnesium sulfate (MgSO4)
Oxytocin (Pitocin)
Carboprost tromethamine (Hemabate)
Misoprostol (Cytotec)
Correct Answer : A,C,D,E
The correct answer is choice A, C, D and E. These medications are all uterotonic agents that can stimulate uterine contractions and reduce bleeding.
They act on different receptors in the uterus and have different side effects and contraindications.
Choice B is wrong because magnesium sulfate is a tocolytic agent that can relax uterine muscles and prevent preterm labor.
It is not indicated for postpartum hemorrhage and can worsen uterine atony.
Normal ranges for postpartum blood loss are less than 500 mL for vaginal delivery and less than 1000 mL for cesarean delivery.
Uterine atony is the most common cause of postpartum hemorrhage and occurs when the uterus fails to contract adequately after delivery.
Risk factors include prolonged or rapid labor, overdistension of the uterus, multiparity, retained placenta, infection and anesthesia.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
“I will seek counseling if I have feelings of grief or loss.” This statement indicates that the client understands the potential psychological impact of having a hysterectomy due to postpartum hemorrhage and placenta accreta, which is a condition where the placenta invades the uterine wall and causes severe bleeding.The client may experience emotional distress, such as sadness, anger, guilt, or anxiety, due to the loss of fertility and the traumatic event.
Seeking counseling can help the client cope with these feelings and adjust to the changes in her life.
Choice A is wrong because iron supplements are not necessary for at least 6 months after a hysterectomy.Iron supplements are usually prescribed for anemia caused by blood loss, but the duration of treatment depends on the severity of the anemia and the client’s response to therapy.
The client should have regular blood tests to monitor her hemoglobin and iron levels and follow the advice of her health care provider regarding iron supplementation.
Choice B is wrong because avoiding lifting anything heavier than the baby for 2 weeks is not enough to prevent complications after a hysterectomy.
A hyster ...
Correct Answer is ["A","C","D","E"]
Explanation
The correct answer is choice A, C, D and E. These medications are all uterotonic agents that can stimulate uterine contractions and reduce bleeding.
They act on different receptors in the uterus and have different side effects and contraindications.
Choice B is wrong because magnesium sulfate is a tocolytic agent that can relax uterine muscles and prevent preterm labor.
It is not indicated for postpartum hemorrhage and can worsen uterine atony.
Normal ranges for postpartum blood loss are less than 500 mL for vaginal delivery and less than 1000 mL for cesarean delivery.
Uterine atony is the most common cause of postpartum hemorrhage and occurs when the uterus fails to contract adequately after delivery.
Risk factors include prolonged or rapid labor, overdistension of the uterus, multiparity, retained placenta, infection and anesthesia.
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