A nurse is preparing to administer methylergonovine IM for a client who had a vaginal delivery earlier that day. The nurse should explain to the client that this medication will help prevent which of the following? (Select onE.:

Thromboembolic events

Postpartum hemorrhage

Postpartum infection

Hypertension

Answer and Explanation

The Correct Answer is B

Choice A: Thromboembolic events are not prevented by methylergonovinE. Thromboembolic events are blood clots that can form in the veins or arteries and cause serious complications such as pulmonary embolism or strokE. Methylergonovine is a uterotonic agent that stimulates the contraction of the uterus and can actually increase the risk of thromboembolic events by causing vasoconstriction and hypertension.

Choice B: Postpartum hemorrhage is prevented by methylergonovinE. Postpartum hemorrhage is excessive bleeding after delivery that can result from uterine atony, retained placenta, or lacerations. Methylergonovine is a uterotonic agent that stimulates the contraction of the uterus and helps control the bleeding by compressing the blood vessels and expelling any placental fragments.

Choice C: Postpartum infection is not prevented by methylergonovinE. Postpartum infection is a bacterial infection that can affect the uterus, the vagina, the bladder, or the breast after delivery. Methylergonovine is a uterotonic agent that has no antibacterial activity and can actually increase the risk of infection by causing fever and chills.

Choice D: Hypertension is not prevented by methylergonovinE. Hypertension is high blood pressure that can cause complications such as preeclampsia, eclampsia, or strokE. Methylergonovine is a uterotonic agent that can actually cause or worsen hypertension by stimulating the alpha-adrenergic receptors and causing vasoconstriction.

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Correct Answer is ["A","B","C","E","F"]

Explanation

Choice A: Elevated liver function tests indicate liver damage, which is a complication of preeclampsia with severe features.

Choice B: Unremitting headache is a sign of increased intracranial pressure, which can result from cerebral edema or hemorrhage caused by preeclampsia with severe features.

Choice C: Rising protein in sequential 24-hour urine reflects the degree of glomerular damage and renal impairment caused by preeclampsia with severe features.

Choice D: Increased urine output is not a sign of preeclampsia with severe features. In fact, oliguria (decreased urine output) may occur due to reduced renal perfusion and acute kidney injury.

Choice E: Pain in the left upper quadrant is a sign of splenic rupture or subcapsular hematoma, which are rare but life-threatening complications of preeclampsia with severe features.

Choice F: BP > 160/110 is one of the diagnostic criteria for preeclampsia with severe features, as it indicates severe hypertension and increased risk of maternal and fetal complications.

A. February 11 B. April 27 C. February 27 D. April 11

Correct Answer is C

Explanation

Choice A reason: This is not the correct date because it is too early. Naegele's rule is a formula that estimates the date of delivery by adding one year, subtracting three months, and adding seven days to the first day of the last menstrual perioD. Applying this rule to May 4 gives February 11 of the next year, but this is only 40 weeks minus 7 days, which is not the full gestational perioD.

Choice B reason: This is not the correct date because it is too latE. Naegele's rule gives February 11 of the next year, but adding two and a half months to this date gives April 27, which is 40 weeks plus 10 days, which is beyond the normal range of gestation.

Choice C reason: This is the correct date because it is the closest to the expected date of delivery. Naegele's rule gives February 11 of the next year, but adding 16 days to this date gives February 27, which is 40 weeks plus 2 days, which is within the normal range of gestation.

Choice D reason: This is not the correct date because it is too latE. Naegele's rule gives February 11 of the next year, but adding two months to this date gives April 11, which is 40 weeks plus 7 days, which is beyond the normal range of gestation.

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A nurse is preparing to administer methylergonovine IM for a client who had a vaginal delivery earlier that day. The nurse should explain to the client that this medication will help prevent which of the following? (Select onE.:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Signs and symptoms of preeclampsia with severe features include (Select all that apply):

Correct Answer is ["A","B","C","E","F"]

Explanation

A nurse in a prenatal clinic is determining a client's estimated date of delivery using Naegele's rulE. The first day of her last menstrual period was May 4. Which of the following dates should the nurse tell the client is her estimated date of delivery?

Correct Answer is C

Explanation

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