A nurse is collecting data from a client who is postpartum and has received methylergonovine. Which of the following findings should indicate to the nurse that the medication was effective?
Increased uterine tone
Blood pressure 120/74 mm Hg
Decreased perineal edema
Urinary output 100 mL/hr
The Correct Answer is A
A. Increased uterine tone: Methylergonovine is a medication used to prevent or treat postpartum hemorrhage. It works by causing uterine contractions, which helps to control bleeding. An indication that the medication is effective would be an increase in uterine
tone, as this signifies that the uterus is contracting appropriately.
B. Blood pressure 120/74 mm Hg: While a blood pressure of 120/74 mm Hg is within the normal range, it does not specifically indicate the effectiveness of methylergonovine.
Blood pressure is an important parameter to monitor, but it alone does not determine the effectiveness of the medication.
C. Decreased perineal edema: Decreased perineal edema may be a positive sign for the client's overall recovery, but it is not a direct indicator of methylergonovine's
effectiveness. Perineal edema is not a primary concern addressed by this medication.
D. Urinary output 100 mL/hr: Urinary output of 100 mL/hr is an important parameter to monitor for renal function. However, it does not specifically indicate the effectiveness of methylergonovine in preventing or treating postpartum hemorrhage. Urinary output is crucial for assessing kidney function and fluid balance but is not directly related to the action of this medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A: Administering the medication into the deltoid muscle is not recommended for newborns due to their underdeveloped muscle mass and the potential for injury. The vastus lateralis muscle in the thigh is the preferred site for intramuscular injections in infants.
B: Checking the mother's Rh factor is not directly related to the administration of phytonadione, which is given to prevent vitamin K deficiency bleeding in the newborn, a condition unrelated to the mother's Rh factor.
C: Administering the medication 12 hours after birth is not the standard practice. Phytonadione is typically given within the first hour after birth to ensure prompt prevention of hemorrhagic disease of the newborn.
D: Administering the medication with a 25 gauge needle is appropriate as it is small enough to cause minimal discomfort and large enough to ensure proper delivery of the medication into the infant's muscle tissue.
Correct Answer is D
Explanation
A. Elevating a baby's head on a cushion during sleep is not recommended, as it may increase the risk of Sudden Infant Death Syndrome (SIDS).
B. Using baby powder with each diaper change is not recommended, as it can be harmful if inhaled by the baby.
C. Setting the hot water heater to 130 degrees Fahrenheit is too hot and can scald a baby. The recommended temperature is around 120 degrees Fahrenheit.
D. This statement indicates an understanding of the importance of regularly changing smoke detector batteries, which is a critical aspect of newborn safety.
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