A nurse is caring for a client who is experiencing uterine atony immediately following delivery. The client fails to respond to oxytocin administration. The nurse should anticipate the use of which of the following medications?

Betamethasone.

Hydralazine.

Terbutaline.

Methylergonovine.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Betamethasone is a corticosteroid used to enhance lung maturity in preterm infants and has no role in treating uterine atony.

Choice B rationale:

Hydralazine is an antihypertensive medication used to lower blood pressure and is not indicated for the management of uterine atony.

Choice C rationale:

Terbutaline is a tocolytic medication used to relax the uterus and delay preterm labour. It is not used to address uterine atony.

Choice D rationale:

Methylergonovine is a uterotonic medication commonly used to treat uterine atony by causing uterine contractions and controlling postpartum bleeding. It helps the uterus contract and prevents further blood loss.

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Correct Answer is C

Explanation

The correct answer is choice c. One acceleration of the FHR within a 20-min period.

Here's the rationale for each choice:

Choice A: Rationale: A non-stress test (NST) is supposed to assess fetal well-being by looking for accelerations in the fetal heart rate (FHR) in response to fetal movement. An FHR that peaks 20 beats above the baseline is a desirable finding in an NST, indicating good fetal reactivity.

Choice B: Rationale: While not typical during a standard NST, three uterine contractions within a 20-minute period might not necessarily require immediate intervention. However, the nurse should document it and notify the healthcare provider for further assessment, especially if the contractions are causing discomfort or if there are other concerning signs.

Choice C: Rationale: A single acceleration of the FHR within a 20-minute NST is considered non-reactive and may indicate fetal compromise. This finding requires further investigation by the healthcare provider, potentially including additional monitoring or interventions.

Choice D: Rationale: Uterine contractions lasting 20 to 30 seconds each are not a typical finding during an NST, but they may not necessarily be a cause for immediate concern unless they are causing the client pain or are accompanied by other concerning signs. The nurse should document the contractions and notify the healthcare provider.

A. Offer the newborn 30 mL (1 oz) of water between feedings. B. Allow the baby to feed at least every 3 hr. C. Feed the newborn 5 to 10 min per breast. D. Expect two to four wet diapers every 24 hr.

Correct Answer is B

No explanation

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A nurse is caring for a client who is experiencing uterine atony immediately following delivery. The client fails to respond to oxytocin administration. The nurse should anticipate the use of which of the following medications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

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