A nurse is caring for a client who is postpartum and has received methylergonovine. Which of the following findings indicates that the medication was effective?

Fundus firm to palpation

Report of absent breast pain

Increase in lochia

Increase in blood pressure

Answer and Explanation

The Correct Answer is A

Choice A reason:
Methylergonovine is used postpartum to prevent or control uterine bleeding by causing the uterus to contract. A firm fundus upon palpation indicates that the uterus is contracting well, which helps to compress the blood vessels and prevent excessive bleeding. This is the expected outcome when methylergonovine is effective.

Choice B reason:
The absence of breast pain is not directly related to the effectiveness of methylergonovine. Breast pain or engorgement typically occurs when milk comes in a few days postpartum and is not influenced by uterotonic medications.

Choice C reason:
An increase in lochia, or postpartum vaginal discharge, is not an indicator of methylergonovine's effectiveness. Lochia will naturally change and decrease as the postpartum period progresses and is not directly affected by the medication.

Choice D reason:
An increase in blood pressure is not an expected effect of methylergonovine and could indicate a side effect or complication. Methylergonovine can cause hypertension as a side effect, so an increase in blood pressure would warrant further assessment rather than indicating effectiveness.

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Correct Answer is D

Explanation

Choice A reason:
Reducing exercise to 3 days a week may not be sufficient for managing gestational diabetes. Regular physical activity is an important part of diabetes management because it helps lower blood sugar levels and can improve insulin sensitivity. The American Diabetes Association recommends that pregnant women with gestational diabetes engage in at least 150 minutes of moderate-intensity aerobic activity per week. This can be distributed over at least three days per week, with no more than two consecutive days without exercise.

Choice B reason:
The statement that the client knows she is at increased risk of developing type 2 diabetes is accurate. Women with gestational diabetes have a higher risk of developing type 2 diabetes later in life. Therefore, they should be monitored for diabetes postpartum and in the years following the birth.

Choice C reason:
Taking glyburide, an oral hypoglycemic agent, is a common treatment for gestational diabetes when diet and exercise are not enough to control blood sugar levels. It is usually taken before breakfast to help control blood sugar levels throughout the day.

Choice D reason:
The statement about limiting carbohydrates to 50% of caloric intake indicates a need for further teaching. While it is important to monitor carbohydrate intake, there is no one-size-fits-all recommendation for the percentage of calories that should come from carbohydrates. Dietary needs can vary based on individual factors, and it is generally recommended to follow a balanced diet with carbohydrates coming from whole grains, fruits, vegetables, and legumes. The client should work with a dietitian to determine the appropriate amount of carbohydrates for her specific needs.

A. 2 cm above the umbilicus B. At the level of the umbilicus C. One fingerbreadth above the symphysis pubis D. To the right of the umbilicus

Correct Answer is B

Explanation

The correct answer is choice B. At the level of the umbilicus.

Choice A rationale:

The fundus is typically not found 2 cm above the umbilicus 12 hours postpartum. This position is more common immediately after delivery or in cases of uterine atony or retained placental fragments.

Choice B rationale:

At 12 hours postpartum, the uterine fundus is expected to be at the level of the umbilicus. This indicates normal involution of the uterus, where it contracts and shrinks back to its pre-pregnancy size.

Choice C rationale:

One fingerbreadth above the symphysis pubis is not a typical position for the fundus 12 hours after delivery. This position is more likely several days postpartum as the uterus continues to involute.

Choice D rationale:

The fundus being to the right of the umbilicus may indicate a full bladder, which can push the uterus to one side. This is not a normal finding 12 hours postpartum and would require intervention to empty the bladder.

: https://bchsfoutreach.ucsf.edu/sites/bchsfoutreach.ucsf.edu/files/handouts/Washington%20Hospital%20Postpartum%204-2018.pdf : https://nursekey.com/fundal-palpation-postpartum/

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A nurse is caring for a client who is postpartum and has received methylergonovine. Which of the following findings indicates that the medication was effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a prenatal clinic is teaching a client who is in her second trimester and has a new diagnosis of gestational diabetes. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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