A nurse is preparing to administer methylergonovine IM to a client who experienced a vaginal delivery. The nurse should explain to the client that the purpose of this medication is to prevent which of the following conditions?

Thromboembolic events

Hypertension

Postpartum hemorrhage

Postpartum infection

Answer and Explanation

The Correct Answer is C

A. Methylergonovine is not indicated for preventing thromboembolic events.
B. Methylergonovine is not indicated for preventing hypertension.

C. Methylergonovine is used to prevent postpartum hemorrhage by causing uterine contractions and reducing bleeding after delivery.
D. Methylergonovine is not indicated for preventing postpartum infection.

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Correct Answer is B

Explanation

A. Keeping the baby's head elevated while feeding helps prevent choking and allows for easier swallowing.

B. Tipping the nipple to allow air during feeding is not recommended as it can lead to ingestion of air, causing discomfort and gas in the baby.

C. Allowing the baby to burp several times during each feeding helps release swallowed air, reducing the risk of colic and discomfort.

D. Soft, formed yellow stools are typical for a formula-fed newborn, indicating proper digestion.

A. A client who experienced a cesarean birth 4 hr ago and reports pain B. A client who has preeclampsia with a BP of 138/90 mm Hg C. A client who is scheduled for discharge following a laparoscopic tubal ligation D. A client who experienced a vaginal birth 24 hr ago and reports no bleeding

Correct Answer is B

Explanation

A. Pain following a cesarean birth is important to address, but it may not indicate an urgent need for assessment compared to other potential complications.
B. A client with preeclampsia requires close monitoring of blood pressure to prevent

complications such as eclampsia, which can lead to seizures and other serious consequences. An elevated blood pressure reading warrants immediate attention.
C. A client scheduled for discharge following a laparoscopic tubal ligation is stable and can likely wait for assessment until after higher-priority clients have been seen.
D. While it's important to monitor for bleeding after a vaginal birth, the absence of bleeding reported by a client 24 hours postpartum may not indicate an immediate need for assessment compared to the potential urgency of managing preeclampsia.

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A nurse is preparing to administer methylergonovine IM to a client who experienced a vaginal delivery. The nurse should explain to the client that the purpose of this medication is to prevent which of the following conditions?

Nursing Test Bank

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