A nurse is collecting data from a client who is 4 hr postpartum. For which of the following findings should the nurse administer carboprost IM?

Increasing systolic blood pressure

Breast engorgement

Pooling of blood beneath the buttocks

Bladder distention

Answer and Explanation

The Correct Answer is C

A.   Increasing systolic blood pressure: Carboprost is not indicated for increasing systolic blood pressure. If a client's blood pressure is elevated, it may require monitoring and, if necessary, treatment with antihypertensive medication.
B.   Breast engorgement: Carboprost is not used to address breast engorgement. Breast engorgement is typically managed with measures like warm compresses, breastfeeding, and potentially pain relievers or other interventions.
C.   Pooling of blood beneath the buttocks: This is a concerning sign of potential postpartum hemorrhage. Carboprost is indicated in situations where there is excessive bleeding or inadequate uterine contractions to help control bleeding and prevent further complications.
D.   Bladder distention: Carboprost is not used to address bladder distention. Bladder distention may require measures such as catheterization to empty the bladder and alleviate discomfort.

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Correct Answer is B

Explanation

A. Applying an antiseptic after the puncture can be done to prevent infection, but it is not the initial step.
B. Warming the newborn's heel helps to increase blood flow, making the collection process more effective and less painful.
C. The puncture should be made on the outer aspect of the newborn's heel, where there is a good blood supply.
D. After the puncture, it is important to apply pressure to the site to stop bleeding, typically using a gauze pad or cotton ball.

A. "It will reduce my baby's risk of having a spinal cord defect." B. "It will make my baby's bones strong." C. "It will prevent my baby from bleeding." D. "It will strengthen my baby's immune system."

Correct Answer is A

Explanation

A: Adequate folic acid intake during pregnancy is important for reducing the risk of neural tube defects, including spinal cord defects.
B: Folic acid is important for neural tube development, but it is not specifically related to bone strength.
C: Folic acid does not prevent bleeding in the baby.
D: Folic acid is primarily associated with neural tube development and is not directly related to immune system strength.

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A nurse is collecting data from a client who is 4 hr postpartum. For which of the following findings should the nurse administer carboprost IM?

Nursing Test Bank

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