Postpartum Hemorrhage > Maternal & Newborn
Exam Review
Medical interventions
Total Questions : 5
Showing 5 questions, Sign in for moreA nurse is caring for a client who is experiencing postpartum hemorrhage.
Which medication should the nurse anticipate administering to promote sustained uterine contractions?
Explanation
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.
A nurse is caring for a client who is experiencing postpartum hemorrhage.
Which medication should the nurse anticipate administering to enhance uterine tone?
Explanation
Carboprost tromethamine (Hemabate) is a prostaglandin that stimulates uterine contractions and reduces bleeding.It is used when other uterotonic medications such as oxytocin (Pitocin) or methylergonovine maleate (Methergine) are ineffective or contraindicated.
Choice A is wrong because oxytocin is the first-line drug for preventing and treating postpartum hemorrhage due to uterine atony, but it may not be enough to enhance uterine tone in some cases.
Choice C is wrong because methylergonovine maleate is an ergot alkaloid that causes sustained uterine contractions, but it has more side effects and contraindications than oxytocin, such as hypertension, nausea, vomiting and headache.
Choice D is wrong because misoprostol (Cytotec) is a synthetic prostaglandin E1 analogue that can be used orally, sublingually, rectally or vaginally to induce uterine contractions, but it is less effective and has more adverse effects than oxytocin or carboprost tromethamine.
A nurse is caring for a client who is experiencing postpartum hemorrhage.
Which medication should the nurse anticipate administering to inhibit fibrinolysis and reduce blood loss?
Explanation
Tranexamic acid (TXA) is a medication that inhibits fibrinolysis and reduces blood loss in postpartum hemorrhage.According to a practice guideline from the International Federation of Gynecology and Obstetrics (FIGO), tranexamic acid given within three hours of vaginal delivery after 500 mL of blood loss reduces mortality by up to 30%.
Choice A is wrong because pitocin (oxytocin) is a medication that stimulates uterine contractions and is used to prevent or treat uterine atony, which is the most common cause of postpartum hemorrhage.
However, it does not inhibit fibrinolysis.
Choice B is wrong because carboprost tromethamine (Hemabate) is a prostaglandin that also stimulates uterine contractions and is used to treat postpartum hemorrhage due to uterine atony.
However, it does not inhibit fibrinolysis.
Choice C is wrong because methylergonovine maleate (Methergine) is an ergot alkaloid that also stimulates uterine contractions and is used to treat postpartum hemorrhage due to uterine atony.
However, it does not inhibit fibrinolysis.
Choice D is wrong because misoprostol (Cytotec) is another prostaglandin that also stimulates uterine contractions and is used to prevent or treat postpartum hemorrhage due to uterine atony.
However, it does not inhibit fibrinolysis.
Normal ranges for blood loss after vaginal delivery are ...
A nurse is caring for a client who is experiencing postpartum hemorrhage.
Which medication should the nurse anticipate administering to induce uterine contractions?
Explanation
Carboprost tromethamine (Hemabate) is a prostaglandin that stimulates uterine contractions and reduces bleeding.It is used for postpartum hemorrhage when other medications such as oxytocin (Pitocin) are ineffective or contraindicated.
Choice A is wrong because oxytocin is the first-line medication for preventing and treating postpartum hemorrhage due to uterine atony, but it may not be effective in some cases.
Choice C is wrong because methylergonovine maleate (Methergine) is an ergot alkaloid that also induces uterine contractions, but it has more side effects and contraindications than prostaglandins.
Choice D is wrong because misoprostol (Cytotec) is another prostaglandin that can be used for postpartum hemorrhage, but it is less effective and has more adverse effects than carboprost tromethamine.
A nurse is caring for a client who is experiencing postpartum hemorrhage and has lost blood volume and clotting factors.
Which medication should the nurse anticipate administering to replace blood volume and clotting factors?
Explanation
Blood products (packed red blood cells, fresh frozen plasma, platelets).Blood products are used to replace blood volume and clotting factors in patients with postpartum hemorrhage who have lost a significant amount of blood and are at risk of hypovolemic shock and coagulopathy.
Choice A is wrong because Pitocin (oxytocin) is a uterotonic medication that stimulates uterine contractions and reduces bleeding from uterine atony, which is the most common cause of postpartum hemorrhage.
However, it does not directly replace blood volume or clotting factors.
Choice B is wrong because Hemabate (carboprost tromethamine) is another uterotonic medication that can be used to treat postpartum hemorrhage caused by uterine atony, especially if oxytocin is ineffective or contraindicated.
However, it also does not directly replace blood volume or clotting factors.
Choice C is wrong because Methergine (methylergonovine maleate) is a third uterotonic medication that can be used to treat postpartum hemorrhage caused by uterine atony, especially if oxytocin and carboprost are ineffective or contraindicated.
However, it also does not directly replace blood volume or clotting factors.
Choice ...
Sign Up or Login to view all the 5 Questions on this Exam
Join over 100,000+ nursing students using Nursingprepexams’s science-backend flashcards, practice tests and expert solutions to improve their grades and reach their goals.
Sign Up Now
