A nurse is preparing to administer methylergonovine IM for a client who had a vaginal delivery earlier that day. The nurse should explain to the client that this medication will help prevent which of the following? (Select onE.:
Thromboembolic events
Postpartum hemorrhage
Postpartum infection
Hypertension
The Correct Answer is B
Choice A: Thromboembolic events are not prevented by methylergonovinE. Thromboembolic events are blood clots that can form in the veins or arteries and cause serious complications such as pulmonary embolism or strokE. Methylergonovine is a uterotonic agent that stimulates the contraction of the uterus and can actually increase the risk of thromboembolic events by causing vasoconstriction and hypertension.
Choice B: Postpartum hemorrhage is prevented by methylergonovinE. Postpartum hemorrhage is excessive bleeding after delivery that can result from uterine atony, retained placenta, or lacerations. Methylergonovine is a uterotonic agent that stimulates the contraction of the uterus and helps control the bleeding by compressing the blood vessels and expelling any placental fragments.
Choice C: Postpartum infection is not prevented by methylergonovinE. Postpartum infection is a bacterial infection that can affect the uterus, the vagina, the bladder, or the breast after delivery. Methylergonovine is a uterotonic agent that has no antibacterial activity and can actually increase the risk of infection by causing fever and chills.
Choice D: Hypertension is not prevented by methylergonovinE. Hypertension is high blood pressure that can cause complications such as preeclampsia, eclampsia, or strokE. Methylergonovine is a uterotonic agent that can actually cause or worsen hypertension by stimulating the alpha-adrenergic receptors and causing vasoconstriction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "You are far enough along that your baby will be just finE." This is not a good response because it is dismissive of the client's concerns and does not provide any factual information or reassurancE. The nurse should not make false promises or minimize the client's feelings.
B. "Everyone worries about their baby while they are in labor." This is not a good response because it is generalizing and does not address the client's specific situation. The nurse should not compare the client to others or imply that their worries are normal or insignificant.
D. "We have a neonatal unit here equipped to handle emergencies." This is not a good response because it implies that there is a high risk of complications and may increase the client's anxiety. The nurse should not focus on negative outcomes or scare the client with unnecessary information.
Correct Answer is D
Explanation
Choice A: The purpose of this medication is to stop preterm labor contractions is not a correct statement, as betamethasone is not a tocolytic agent that inhibits uterine activity. Betamethasone is a corticosteroid that enhances the production of surfactant and reduces the risk of respiratory distress syndrome in preterm infants.
Choice B: The purpose of this medication is to increase the fetal heart rate is not a correct statement, as betamethasone does not have a direct effect on the fetal heart ratE. Betamethasone may cause maternal tachycardia as a side effect, but it does not affect the fetal cardiac function.
Choice C: The purpose of this medication is to halt cervical dilation is not a correct statement, as betamethasone does not have an effect on the cervical ripening or effacement. Betamethasone is given to improve the fetal outcomes in case of preterm delivery, but it does not prevent or delay the labor process.
Choice D: The purpose of this medication is to boost fetal lung maturity is a correct statement, as betamethasone is a corticosteroid that stimulates the synthesis of surfactant and accelerates the maturation of the fetal lungs. Betamethasone is given to reduce the incidence and severity of respiratory distress syndrome and other neonatal complications in preterm infants.
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