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 C

Explanation

Choice a reason:
A male condom is a barrier method of contraception that is typically easy to use and accessible. It has the added benefit of providing protection against sexually transmitted infections (STIs). However, its effectiveness can be compromised by improper use or breakage. With typical use, male condoms are about 85% effective.

Choice b reason:
A diaphragm with spermicide is another barrier method that can be used to prevent pregnancy. The diaphragm covers the cervix and the spermicide kills or immobilizes sperm. The effectiveness of a diaphragm with spermicide is generally lower than some other methods, with typical use effectiveness around 88%.

Choice c reason:
An intrauterine device (IUD) is a small device inserted into the uterus by a healthcare provider. IUDs come in two types: hormonal and copper. Both types are highly effective, with over 99% effectiveness. They are long-acting, reversible, and do not require daily attention, which contributes to their reliability.

Choice d reason:
An oral contraceptive, also known as the birth control pill, is a popular method of contraception that requires the user to take a pill at the same time every day. The effectiveness of the pill can be high, but because it relies on user adherence, its typical use effectiveness is around 91%.

A. Immediately report the situation to the client's provider and prepare the client for induction of labor. B. Turn the client onto her left side. C. Encourage the client to walk around without the monitoring unit for 10 minutes, then resume monitoring. D. Offer the client a snack of orange juice and crackers.

Correct Answer is D

Explanation

Choice A reason:
Reporting the situation to the provider and preparing for induction of labor may be premature without first attempting to stimulate fetal movement. Nonstress tests can have periods of no observed movement without indicating immediate distress or the need for labor induction.

Choice B reason:
Turning the client onto her left side can improve uteroplacental blood flow, which might indirectly stimulate fetal movement. However, this action alone may not be sufficient to prompt fetal activity during a nonstress test.

Choice C reason:
Encouraging the client to walk around could potentially stimulate fetal movement, but it is not the standard initial response during a nonstress test. Walking without monitoring may also miss capturing any potential movements that occur during that time.

Choice D reason:
Offering the client a snack of orange juice and crackers is a common and non-invasive method to encourage fetal movement. The natural sugars in the orange juice can increase the baby's blood glucose levels, potentially leading to increased activity that can be observed on the nonstress test.

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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 is caring for a client who is considering several methods of contraception. Which of the following methods of contraception should the nurse identify as being the most reliable?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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