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Which medications are used to manage PPH? (Select all that apply.)
- A. Oxytocin
- B. Methergine
- C. Terbutaline
- D. Hemabate
Correct Answer: A
Rationale: 1. Oxytocin: Oxytocin is a commonly used medication to manage postpartum hemorrhage (PPH) because it helps to contract the uterus, which can reduce bleeding after childbirth. It is often the first-line treatment in cases of PPH.
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What nursing intervention does the nurse include in the plan of care for a person with postpartum endometritis?
- A. Monitor for signs of sepsis.
- B. Discourage breast-feeding.
- C. Avoid fundal assessment.
- D. Increase family visiting hours.
Correct Answer: A
Rationale: Monitoring for signs of sepsis is important in postpartum endometritis as it can lead to severe complications if untreated.
The nurse is caring for a postpartum woman and her 2-hour-old baby. The new mother has been preoccupied with breastfeeding and visitors, but suddenly she complains of dizziness and is light-headed. Which response by the nurse is appropriate?
- A. Explain that she needs to drink more fluids and eat because she needs to replace fluids and calories.
- B. Encourage the patient to rest, and ask a family member to watch the newborn in the crib.
- C. Tell the patient that the dizziness is probably caused by her pain medication and that it is normal.
- D. Obtain vital signs, assess fundal tone, and observe for excessive lochia.
Correct Answer: D
Rationale: The correct response is D because the new mother's complaint of dizziness and light-headedness could indicate postpartum hemorrhage, a common complication. Obtaining vital signs will help assess for signs of shock. Assessing fundal tone can determine if the uterus is contracting properly to prevent excessive bleeding. Observing for excessive lochia is important to monitor for increased bleeding. Choice A is incorrect because the symptoms are not solely due to dehydration or lack of calories. Choice B is incorrect as the nurse should assess the mother first before delegating care to family members. Choice C is incorrect as dizziness is not a common side effect of pain medication in the postpartum period.
The nurse places one hand above the symphysis pubis during uterine massage to:
- A. Make the massage more comfortable for the woman.
- B. Increase the effectiveness of the procedure.
- C. Help prevent the uterus from inverting.
- D. Help determine the firmness of the uterus.
Correct Answer: C
Rationale: By placing a hand above the symphysis pubis, the nurse can help prevent uterine inversion and provide better support during the massage.
Which medications are used to manage PPH? (Select all that apply.)
- A. Oxytocin
- B. Methergine
- C. Terbutaline
- D. Hemabate
Correct Answer: A
Rationale: The correct answer is A: Oxytocin. Oxytocin is the first-line medication for managing postpartum hemorrhage (PPH) as it helps in the contraction of the uterus to control bleeding. Methergine (B) is used for uterine atony but is not the first-line choice. Terbutaline (C) is a tocolytic agent and not indicated for PPH. Hemabate (D) is used as a second-line medication for PPH after oxytocin.
Immediately after delivery, a woman is shaking uncontrollably. Which of the following nursing actions is most appropriate?
- A. Provide the woman with warm blankets.
- B. Put the woman in the Trendelenburg position.
- C. Notify the primary health care provider.
- D. Increase the intravenous infusion.
Correct Answer: A
Rationale: Shaking or chills immediately after delivery is common due to the drop in body temperature. Providing warm blankets helps alleviate this discomfort.