Given the following information, identify the adverse effects related to each medication order. AG1PO delivered a baby that weighs 10 lbs. Patient has a boggy uterus, it is midline, and +1 hour after delivery. Perineal pad is saturated with large golf size clots in 30 minutes. Identify the adverse effects of the medications listed in the order set. Medication: Methergine (Methylergonovine), Oxytocin (Pitocin), Hemabate (carboprost tromethamine), Misoprostol (Cytotec).
Diarrhea.
Hypertensive crisis.
Asthma exacerbation.
Fever, chills, hypotension.
Correct Answer : B,C,D
Choice A rationale
Diarrhea is a common adverse effect of Hemabate (carboprost tromethamine). It stimulates smooth muscle contractions, including gastrointestinal tract muscles, leading to increased bowel movements.
Choice B rationale
Methergine (Methylergonovine) can cause a hypertensive crisis due to its potent vasoconstrictive properties. It is contraindicated in patients with hypertension or preeclampsia.
Choice C rationale
Hemabate (carboprost tromethamine) may exacerbate asthma. It can cause bronchoconstriction by stimulating prostaglandin receptors, worsening asthma symptoms or triggering attacks.
Choice D rationale
Misoprostol (Cytotec) can cause fever, chills, and hypotension due to its inflammatory and vasodilatory effects. It increases prostaglandin synthesis, leading to these systemic responses.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E","F"]
Explanation
Choice A rationale
Cervical dilation and effacement indicate the body is preparing for labor by allowing the cervix to open and thin out for childbirth.
Choice B rationale
Swelling of the feet and ankles is common in pregnancy due to increased fluid retention but is not a specific sign of imminent labor.
Choice C rationale
The nesting instinct, a burst of energy and urge to prepare the home, often occurs as labor approaches, driven by hormonal changes.
Choice D rationale
Increase in maternal blood pressure may indicate preeclampsia, a pregnancy complication, but not a premonitory sign of labor.
Choice E rationale
Bloody show involves the discharge of mucus with blood from the cervix, signaling that labor is likely to begin soon.
Choice F rationale
Increase in Braxton Hicks contractions, or practice contractions, helps the uterus prepare for true labor by strengthening muscles.
Correct Answer is A
Explanation
Choice A rationale
Polyhydramnios is characterized by excessive amniotic fluid, exceeding 24 cm in amniotic fluid index. This can cause uterine distension and complicate labor and delivery.
Choice B rationale
Fetal congenital anomalies, growth restriction, or distress are possible complications of polyhydramnios, but they are not definitive diagnoses for the condition itself.
Choice C rationale
Carrying more than one fetus is associated with increased amniotic fluid levels, but polyhydramnios specifically refers to the excess fluid, not the number of fetuses.
Choice D rationale
Elevated alpha-fetoprotein (AFP) levels can indicate neural tube defects or other fetal anomalies, but it is not a direct cause or indicator of polyhydramnios.
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