The nurse is assisting the primary care provider (PCP) with the third stage of a vaginal delivery.The patient is multiparous, experienced a precipitous birth, and has a history of hypertension.
Which medical prescription does the nurse anticipate for this patient?

Methylergonovine (Methergine).

Magnesium sulfate.

Carboprost-tromethamine (Hemabate).

Fresh frozen plasma (FFP).

Answer and Explanation

The Correct Answer is A

Choice A rationale

Methylergonovine (Methergine) is used to manage postpartum hemorrhage by stimulating uterine contractions. It is especially useful in cases like this where rapid uterine tone is needed.

Choice B rationale

Magnesium sulfate is used to prevent seizures in preeclamptic patients, not to manage postpartum hemorrhage. This choice is incorrect in this context.

Choice C rationale

Carboprost-tromethamine (Hemabate) is also used for treating postpartum hemorrhage but is typically a secondary option to methylergonovine and may have more side effects.

Choice D rationale

Fresh frozen plasma (FFP) is used to replace clotting factors in cases of coagulopathy, not as a primary intervention for postpartum hemorrhage in this patient.

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Correct Answer is B

Explanation

Choice A rationale

Oral rehydration therapy is not used in place of feedings for infants undergoing phototherapy for elevated bilirubin levels. It's crucial to maintain proper nutrition and hydration through regular feedings.

Choice B rationale

Rotating the baby helps ensure even exposure to the bili lights, which aids in breaking down bilirubin effectively across the baby's body.

Choice C rationale

Applying restraints is inappropriate and unnecessary. It could cause distress and is not a standard practice for phototherapy.

Choice D rationale

Administering intravenous fluids is not typically needed unless there's a risk of dehydration or other medical indications as per the doctor's orders.

A. Blood pressure 160/110. B. Frequency of contractions every 3 minutes. C. Fetal heart rate 155 bpm with early decelerations. D. Frequency of contractions every 3 minutes.

Correct Answer is A

Explanation

Choice A rationale

Blood pressure of 160/110 indicates severe preeclampsia and warrants immediate intervention to prevent complications. Stopping oxytocin is part of the management of severe preeclampsia to avoid exacerbating the condition.

Choice B rationale

Frequency of contractions every 3 minutes is within the normal range during labor induction and does not warrant stopping the infusion unless there are other concerns.

Choice C rationale

A fetal heart rate of 155 bpm with early decelerations may require close monitoring but does not necessarily warrant stopping the oxytocin infusion. Early decelerations are typically a normal physiological response.

Choice D rationale

Frequency of contractions every 3 minutes is expected during active labor and is generally not a cause to stop the oxytocin infusion. The nurse should continue to monitor the labor progression closely.

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The nurse is assisting the primary care provider (PCP) with the third stage of a vaginal delivery.The patient is multiparous, experienced a precipitous birth, and has a history of hypertension.Which medical prescription does the nurse anticipate for this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An 18-hour-old baby with an elevated bilirubin level is placed under the bili lights.Which of the following is an expected nursing action in these circumstances?

Correct Answer is B

Explanation

A client with pre-eclampsia with severe features at 38 weeks' gestation is being induced with IV oxytocin.Which of the following would warrant the nurse to stop the infusion?

Correct Answer is A

Explanation

Which symptom would the nurse expect to observe in a postpartum client with a vaginal hematoma?

A client is on magnesium sulfate for pre-eclampsia with severe features.The nurse must notify the attending physician regarding which of the following findings?

When administering magnesium sulfate to a client with preeclampsia, the nurse understands that this drug is given to:

A client at 28 weeks' gestation with intact membranes is admitted with the following findings: contractions every 5 minutes lasting 60 seconds, 3 cm dilated, 80% effaced.Which of the following medications will the obstetrician likely order?

The nurse is caring for the postpartum client.Which assessment finding should prompt the nurse to conclude that the administration of carboprost tromethamine (Hemabate) has been effective?

Which symptom would the nurse expect to observe in a postpartum client with a vaginal hematoma?

The nurse educator is preparing a presentation on preterm labor (PTL) and birth (PTB). Which information does the nurse recognize as being inaccurate?

A client with an obstetrical history of G1 P0000 received dinoprostone for cervical ripening 8 hours ago.The Bishop score at that time was 4. The Bishop score is now 10. Which of the following actions by the nurse is appropriate?

The nurse is assisting the primary care provider (PCP) with the third stage of a vaginal delivery.The patient is multiparous, experienced a precipitous birth, and has a history of hypertension.
Which medical prescription does the nurse anticipate for this patient?