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 D
Explanation
Choice A rationale
Support groups provide emotional connection, but they do not address immediate concerns like the parents' involvement in care, which is essential for fostering confidence and bonding with the baby.
Choice B rationale
Limiting visits could increase parental anxiety and hinder their emotional connection to their baby. Parental involvement in care improves attachment and reduces stress, making this suggestion counterproductive to emotional health.
Choice C rationale
Advising parents to avoid attachment disregards the importance of early bonding in the neonatal period, which plays a key role in long-term emotional and psychological development for both the child and the parents.
Choice D rationale
Regular updates and including parents in the baby’s care empower them, promoting attachment and reducing feelings of helplessness. Parent-infant interaction has been shown to enhance coping mechanisms and improve family dynamics.
Correct Answer is B
Explanation
Choice A rationale
Elastic stockings help improve venous return, reducing clot propagation in thrombophlebitis. Proper usage minimizes symptoms like pain and swelling, and supports overall vein health, crucial for recovery and preventing complications.
Choice B rationale
Massaging an affected leg with thrombophlebitis is contraindicated as it increases the risk of clot dislodgement, potentially leading to a life-threatening pulmonary embolism. This misconception highlights the need for further client education.
Choice C rationale
Avoiding prolonged sitting prevents venous stasis and encourages circulation, which is vital in thrombophlebitis management to prevent worsening of clotting and associated complications such as pain or swelling.
Choice D rationale
Elevating the affected leg reduces swelling and promotes venous drainage, alleviating discomfort associated with thrombophlebitis. This intervention supports the resolution of inflammation in the superficial veins.
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