Nokea
What will the nurse anticipate might be ordered by the physician?
- A. Ritodrine
- B. Magnesium sulfate
- C. Oxytocin
- D. Bromocriptine
Correct Answer: C
Rationale: Oxytocin (Pitocin) is the most common drug ordered to control uterine atony.
You may also like to solve these questions
Where does the patient report that the pain is felt?
- A. Groin
- B. Achilles tendon
- C. Top of the foot
- D. Calf of the leg
Correct Answer: D
Rationale: A pain in the calf of the leg when the leg is flexed and the foot is dorsiflexed is a positive Homans' sign, suggestive of deep vein thrombosis.
What complication should the nurse be alert for in the immediate postpartum period?
- A. Cervical laceration
- B. Hematoma
- C. Endometritis
- D. Retained placental fragments
Correct Answer: B
Rationale: Delivering a large infant and a prolonged labor are risk factors for hematoma formation.
What does the nurse explain is the usual treatment for subinvolution?
- A. Uterine massage
- B. Oxytocin infusion
- C. Dilation and curettage
- D. Hysterectomy
Correct Answer: C
Rationale: Medical treatment for subinvolution involves dilation of the cervix and curettage to remove retained placental fragments from the uterine wall.
What is the nurse's most helpful response?
- A. Stop breastfeeding until the infection clears.'
- B. Pump the breasts to continue milk production, but do not give breast milk to the infant.'
- C. Begin all feedings with the affected breast until the mastitis is resolved.'
- D. Breastfeeding can continue unless there is abscess formation.'
Correct Answer: D
Rationale: The woman with mastitis can continue to breastfeed unless an abscess forms.
What nursing action is the most appropriate to prevent thrombus formation?
- A. Have the woman sit in a chair for meals.
- B. Monitor vital signs every 4 hours and report any changes.
- C. Tell the woman to remain in bed with her legs elevated.
- D. Assist the woman with ambulation for short periods of time.
Correct Answer: D
Rationale: Early ambulation and range-of-motion exercises are valuable aids to prevent thrombus formation in the postpartum woman.