Medical interventions

Medical interventions ( 5 Questions)

Question 1 :

A nurse is caring for a client who is experiencing postpartum hemorrhage.

Which medication should the nurse anticipate administering to promote sustained uterine contractions?



Correct Answer: B

Carboprost tromethamine (Hemabate) is a medication that should be anticipated for a client who is experiencing postpartum hemorrhage. It is a synthetic prostaglandin that stimulates strong and sustained uterine contractions and reduces bleeding.

Choice A is wrong because Pitocin is a uterotonic medication that is used to prevent postpartum hemorrhage by inducing contractions between delivery of the baby and the placenta.

It is not as effective as carboprost for treating severe bleeding.

Choice C is wrong because Methylergonovine maleate (Methergine) is another uterotonic medication that causes sustained uterine contractions and vasoconstriction.

However, it is contraindicated in patients with hypertension, which is a common complication of pregnancy.

Choice D is wrong because Misoprostol (Cytotec) is a synthetic prostaglandin that can be used to prevent or treat postpartum hemorrhage by causing uterine contractions. However, it is less effective than carboprost and has more side effects such as fever, diarrhea and shivering.


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