Your postpartum patient is experiencing a hemorrhage. Vital signs are 156/94, heart rate 87, O2 saturation 95%. You increase the Pitocin drip wide open and prepare to give what medication to the patient next?

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.

Choice A rationale

Providing family support is crucial as preterm birth can cause significant emotional distress. Education and involvement aid understanding of interventions and foster a supportive environment for both the neonate and family.

Choice B rationale

Strict handwashing and sterile technique prevent infection in preterm neonates, whose immature immune systems make them highly susceptible to sepsis, a leading cause of morbidity in NICUs.

Choice C rationale

Creating a womb-like state through dim lighting, limited noise, and careful positioning supports neurodevelopment and mimics the intrauterine environment, promoting growth and stability.

Choice D rationale

Frequent diaper changes may disturb thermoregulation and disrupt the neonate's limited energy reserves, as preterm infants require an environment that minimizes stress and conserves energy.