A nurse is providing care for a client experiencing postpartum hemorrhage. Which medications may be prescribed by the provider? Select all that apply.
Carboprost (Hemabate)
Hydralazine (Apresoline)
Misoprostol (Cytotec)
Methylergonovine (Methergine)
Oxytocin (Pitocin)
Correct Answer : A,C,D,E
A. Carboprost (Hemabate) is a prostaglandin used to control postpartum hemorrhage.
B. Hydralazine is an antihypertensive medication, not typically used for postpartum hemorrhage.
C. Misoprostol (Cytotec) is a prostaglandin that can be used to prevent or treat postpartum hemorrhage.
D. Methylergonovine (Methergine) is an ergot alkaloid used to manage postpartum hemorrhage.
E. Oxytocin (Pitocin) is a uterotonic medication commonly used to prevent or treat postpartum hemorrhage.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B"]
Explanation
A. A previous low transverse uterine incision is a factor that may allow for a trial of labor after cesarean (TOLAC) or a vaginal birth after cesarean (VBAC), rather than an automatic cesarean section.
B. Placenta previa, where the placenta partially or completely covers the cervix, often requires a cesarean section to avoid complications such as bleeding during labor.
C. A previous classical uterine incision, especially if it extends into the upper part of the uterus, is a contraindication for a trial of labor or vaginal birth, usually requiring a repeat cesarean
section.
D. Prolapsed umbilical cord, where the cord precedes the presenting part, can lead to cord compression during contractions, necessitating a prompt cesarean section.
E. Breast cancer is not a direct indication for a cesarean section; it does not impact the mode of delivery in the absence of other obstetric indications.
Correct Answer is B
Explanation
A. Client 4, who delivered 8 hours ago, having a fundus at the umbilicus is within the expected range for a client at this stage postpartum.
B. Client 2, two days postpartum with a fundus 2 cm above the umbilicus, is suggestive of uterine subinvolution, as the fundus should be descending, not rising, after delivery.
C. Client 1, three days postpartum with a fundus 3 cm below the umbilicus, is within the expected range for the postpartum period.
D. Client 3, one day postpartum with a fundus 1 cm below the umbilicus, is within the expected range for the postpartum period.
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