Given the following information, identify the adverse effects related to each medication order. AG1PO delivered a baby that weighs 10 lbs. Patient has a boggy uterus, it is midline, and +1 hour after delivery. Perineal pad is saturated with large golf size clots in 30 minutes. Identify the adverse effects of the medications listed in the order set. Medication: Methergine (Methylergonovine), Oxytocin (Pitocin), Hemabate (carboprost tromethamine), Misoprostol (Cytotec).
Choices:
Diarrhea.
Hypertensive crisis.
Asthma exacerbation.
Fever, chills, hypotension.
Correct Answer : B,C,D
Choice A rationale
Diarrhea is a common adverse effect of Hemabate (carboprost tromethamine). It stimulates smooth muscle contractions, including gastrointestinal tract muscles, leading to increased bowel movements.
Choice B rationale
Methergine (Methylergonovine) can cause a hypertensive crisis due to its potent vasoconstrictive properties. It is contraindicated in patients with hypertension or preeclampsia.
Choice C rationale
Hemabate (carboprost tromethamine) may exacerbate asthma. It can cause bronchoconstriction by stimulating prostaglandin receptors, worsening asthma symptoms or triggering attacks.
Choice D rationale
Misoprostol (Cytotec) can cause fever, chills, and hypotension due to its inflammatory and vasodilatory effects. It increases prostaglandin synthesis, leading to these systemic responses.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice B rationale
Fetal macrosomia, defined as birth weight above 4,000 grams, can complicate labor due to increased risk of shoulder dystocia, prolonged labor, and cesarean delivery. Proper management of macrosomia is critical for maternal and neonatal outcomeChoice s.
Choice A rationale
Small for gestational age (SGA) fetuses, although growth-restricted, typically do not pose mechanical issues in labor. The primary concerns involve potential preterm birth, low birth weight, and associated neonatal complications, not labor obstruction.
Choice C rationale
Intrauterine growth restriction (IUGR) fetuses are smaller than expected for gestational age but do not generally cause labor obstruction. IUGR primarily raises concerns about fetal well-being and potential complications, not mechanical labor issues.
Choice D rationale
Fetal anemia, although serious, does not typically affect the mechanical aspects of labor progression. It can lead to fetal hypoxia and distress, requiring close monitoring and potentially earlier delivery, but not labor complications related to size.
Correct Answer is C
Explanation
Choice A rationale
The gate control theory suggests that pain perception is not uniform and can be modulated by non-painful stimuli, such as touch or temperature, influencing the pain pathways.
Choice B rationale
The theory emphasizes that pain perception can be influenced by external factors, including psychological and physical interventions, not solely confined to the brain.
Choice C rationale
Pain signals can be modulated by stimulating other sensory nerves. For instance, massage or heat can activate non-nociceptive fibers, blocking pain signals at the spinal cord level.
Choice D rationale
Pain perception is not solely determined by tissue damage. The gate control theory highlights the modulation of pain by psychological and physical factors, showing that pain is a complex experience.
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