A nurse is preparing to administer methylergonovine to a client who has postpartum hemorrhage.
Which of the following assessments should the nurse perform before giving the medication?
Blood pressure
Temperature
Respiratory rate
Blood glucose
The Correct Answer is A
The nurse should perform a blood pressure assessment before giving methylergonovine to a client who has postpartum hemorrhage because methylergonovine can cause hypertension and cerebrovascular accidents. The nurse should administer methylergonovine over more than one minute and monitor blood pressure.
Choice B. Temperature is wrong because temperature is not affected by methylergonovine and is not a priority assessment for postpartum hemorrhage.
Choice C. Respiratory rate is wrong because respiratory rate is not affected by methylergonovine and is not a priority assessment for postpartum hemorrhage.
Choice D. Blood glucose is wrong because blood glucose is not affected by methylergonovine and is not a priority assessment for postpartum hemorrhage.
Postpartum hemorrhage is severe vaginal bleeding after childbirth that can lead to shock and death.
The major causes of postpartum hemorrhage are uterine atony, lacerations, retained placenta or clots, and clotting factor deficiency.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Acrocyanosis is the term for the bluish discoloration of the hands and feet that is normal in newborns.It is caused by poor peripheral circulation and ineffective temperature regulation.It usually disappears within 24 to 48 hours after birth.
Choice B is wrong because cyanosis is the bluish discoloration of the skin and mucous membranes that indicates inadequate oxygenation.
It is not normal in newborns and requires immediate intervention.
Choice C is wrong because pallor is the paleness of the skin that indicates poor perfusion or anemia.
It is not normal in newborns and requires further evaluation.
Choice D is wrong because jaundice is the yellowish discoloration of the skin and sclera that indicates elevated bilirubin levels.
It is not normal in newborns within the first 24 hours of life and may indicate hemolytic disease or liver dysfunction.
Correct Answer is C
Explanation
Having a history of fibroids can increase the risk of bleeding, but not postpartum hemorrhage.Fibroids are benign tumors that grow in the uterus and can cause heavy menstrual bleeding, but they do not affect the placenta or the uterus after delivery.
Choice A is wrong because having a large baby can increase the risk of postpartum hemorrhage.
A large baby can overstretch the uterine muscle and cause atony, which is the failure of the uterus to contract properly after delivery.Atony is the most common cause of postpartum hemorrhage.
Choice B is wrong because having a prolonged labor can increase the risk of postpartum hemorrhage.
A prolonged labor can exhaust the uterine muscle and impair its ability to contract after delivery.This can also lead to atony and excessive bleeding.
Choice D is wrong because having a low-lying placenta can increase the risk of postpartum hemorrhage.
A low-lying placenta, also called placenta previa, is when the placenta covers part of the cervix. This condition can increase the risk of postpartum hemorrhage, which is excessive bleeding after childbirth.
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