A nurse is preparing to assist with an emergency cesarean delivery for a client who has obstructed labor and excessive vaginal bleeding.
The nurse should anticipate administering which of the following medications to prevent hemorrhage?
Oxytocin.
Magnesium sulfate.
Terbutaline.
Methylergonovine.
The Correct Answer is D
This medication is a uterotonic agent that stimulates the contraction of the uterus and helps prevent hemorrhage after cesarean delivery. It is especially indicated for clients who have obstructed labor and excessive vaginal bleeding, as they are at high risk of postpartum hemorrhage.
Normal ranges for uterine tone are less than 10 mm Hg at rest and less than 25 mm Hg during contractions.
Normal ranges for blood pressure are 110-140 mm Hg systolic and 60-90 mm Hg diastolic.
Normal ranges for heart rate are 60-100 beats per minute.
Nursing Test Bank
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Related Questions
Correct Answer is B
Explanation
This is a rare but serious complication that occurs when the uterus tears during labor.
It can cause severe bleeding, fetal distress, and maternal shock.
It can also lead to hysterectomy or death.Uterine rupture is more likely to occur in women who have had previous cesarean sections or other uterine surgeries.
Correct Answer is A
Explanation
A prolonged deceleration of the fetal heart rate to 90/min indicates acute fetal hypoxia/acidosis, which is a decrease in the blood flow to the placenta that reduces the amount of oxygen and nutrients transferred to the fetus.Fetal pH drops at a rate of 0.01/min during the deceleration.Causes of acute hypoxia include low maternal blood pressure, dehydration, anemia, rapid uterine contractions, placental abruption, and fetal hypoxia.
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