Medications used to manage postpartum hemorrhage (PPH) include: (Select all that apply)
Hemabate.
Terbutaline.
Oxytocin.
Methergine.
Correct Answer : A,C,D
Choice A rationale
Hemabate (carboprost) is a prostaglandin analog that induces uterine contractions, effectively reducing bleeding. It is often used when first-line agents fail to control postpartum hemorrhage.
Choice B rationale
Terbutaline is a tocolytic agent used to delay premature labor by relaxing uterine muscles. It is contraindicated in postpartum hemorrhage as it inhibits uterine contraction, worsening bleeding.
Choice C rationale
Oxytocin stimulates uterine contractions by acting on oxytocin receptors in the myometrium. It is the first-line treatment for postpartum hemorrhage to promote hemostasis through uterine contraction.
Choice D rationale
Methergine (methylergonovine) enhances uterine tone and decreases bleeding by inducing sustained contractions via stimulation of uterine smooth muscle serotonin and alpha-adrenergic receptors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
Choice A rationale
Deep sleep is not a characteristic of neonatal abstinence syndrome; rather, infants tend to exhibit irritability and disturbed sleep patterns due to central nervous system hyperirritability caused by opioid withdrawal.
Choice B rationale
A high-pitched cry occurs due to central nervous system overstimulation and hyperirritability, which are hallmark features of neonatal abstinence syndrome and a direct result of opioid withdrawal in neonates.
Choice C rationale
Poor feeding is common in neonatal abstinence syndrome due to uncoordinated suck reflexes and gastrointestinal disturbances, leading to difficulty maintaining adequate nutrition and hydration in affected neonates.
Choice D rationale
Neonates with neonatal abstinence syndrome often exhibit tremors or shaking as a result of central nervous system hyperirritability, which is a hallmark symptom of opioid withdrawal in newborns.
Choice E rationale
Excessive sweating is a manifestation of autonomic nervous system dysregulation caused by opioid withdrawal in neonates, commonly observed in infants with neonatal abstinence syndrome.
Correct Answer is C
Explanation
Choice A rationale
Advising about birth defects without offering compassionate support can intensify parental grief and fails to acknowledge the significance of their emotional trauma, worsening their psychological response after a stillbirth.
Choice B rationale
Discouraging naming deters parental acknowledgment of their baby's existence, which disrupts grieving processes. Recognizing their loss helps families process grief healthily and facilitates emotional closure.
Choice C rationale
Giving mementos and allowing holding the baby fosters parental bonding and validates their loss. These actions are supported by bereavement care guidelines promoting emotional processing, acceptance, and closure after stillbirth.
Choice D rationale
Immediate morgue transport disregards the psychological needs of grieving parents and deprives them of opportunities to spend time with their baby, essential for acknowledging their loss and beginning grief processing.
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