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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)

Answer and Explanation

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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Correct Answer is B

Explanation

A. Late decelerations typically start after the contraction has reached its peak and return to baseline after the contraction ends, not during the contraction.
B. Early decelerations coincide with the contraction and return to baseline by the end of the contraction. They are typically considered benign and related to head compression.
C. Accelerations are brief increases in the FHR above the baseline and are usually associated with fetal movement.
D. Variable decelerations are abrupt decreases in the FHR, often unrelated to contractions, and have an erratic pattern.

A. Assist the client to change positions B. Promptly inform the primary care provider C. Advocate for the client to have a vaginal examination D. Continue to monitor the client and the fetal heart rate

Correct Answer is A

Explanation

A. Changing the client's position, especially if there's a cord compression causing variable decelerations, is a priority intervention to alleviate the decelerations.
B. Informing the primary care provider is important, but immediate action to address the decelerations should be taken first.
C. Vaginal examination is not the immediate priority when variable decelerations are observed; interventions to improve fetal oxygenation are more critical.
D. Continuous monitoring is essential, but addressing the cause of the variable decelerations by changing the client's position is the immediate action.

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A nurse is providing care for a client experiencing postpartum hemorrhage. Which medications may be prescribed by the provider? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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