Pharmacology: Methergine Medication Quiz

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What is the MAIN cause of maternal mortality due to postpartum hemorrhage?

Uterine fibroid tumor

Retained placental fragments and membranes

Abruptio placentae

Uterine atony (correct)

Which of the following is a key diagnostic finding for late postpartum hemorrhage?

Prolonged clotting times (correct)

Delayed capillary refill

Decreased urine output

Rapid, shallow respirations

A patient presents with prolonged lochial discharge and a larger than normal, boggy uterus. What is the likely diagnosis?

Perineal infection

Parametritis

Endometritis

Subinvolution of the uterus (correct)

Which of the following is a nursing intervention for postpartum hemorrhage?

Massage the uterus, facilitate voiding, and monitor blood loss Signup and view all the answers

Which of the following is a risk factor for postpartum hemorrhage?

All of the above Signup and view all the answers

What is the primary medical management for postpartum hemorrhage due to uterine atony?

Administer oxytocin or methylergonovine IV or IM Signup and view all the answers

What is the mechanism of action of heparin sodium injection in the context of postpartum complications?

Blocks the conversion of prothrombin to thrombin Signup and view all the answers

Which medication should be administered as a 'piggy back' infusion according to the text?

Heparin IV Signup and view all the answers

Why is it advised to avoid estrogen or aspirin during anticoagulopathy treatment?

They interfere with hepatic synthesis of vitamin K-dependent clotting factors Signup and view all the answers

What is the purpose of administering heparin SQ deep into the abdomen, as mentioned in the text?

To decrease the risk of hematoma formation Signup and view all the answers

Why is it important to keep protamine sulfate readily available during heparin therapy?

To reverse the anticoagulant effects in case of overdose Signup and view all the answers

What should be primarily assessed in a client receiving anticoagulants, as indicated in the text?

Coagulation studies Signup and view all the answers

What is the main purpose of methergine?

Promotes uterine contraction Signup and view all the answers

What is the recommended route of administration for methergine in emergency situations?

Intravenous Signup and view all the answers

What is a key instruction regarding the preparation of methergine for administration?

Do not mix with any other drug Signup and view all the answers

Which factor is NOT listed as a predisposing factor for puerperal infection?

Use of sterile delivery instruments Signup and view all the answers

What nursing intervention is crucial for a patient with parametritis?

Enforce strict bed rest Signup and view all the answers

Which sign/symptom is NOT typically associated with endometritis?

Excessive urination Signup and view all the answers

What is a key diagnostic finding for thrombophlebitis?

Increased heart rate Signup and view all the answers

'Payr's sign' is associated with which postpartum complication?

'Payr's sign' is associated with endometritis Signup and view all the answers

'Rielander's sign' is a clinical indicator of which postpartum complication?

'Rielander's sign' indicates puerperal infection Signup and view all the answers

'Warm or cool compresses' are commonly used in the treatment of which postpartum complication?

'Warm or cool compresses' are used for perineal infection Signup and view all the answers