Before administering methylergonovine (Methergine), the nurse ...

[soccerdreamer_17]

Before administering methylergonovine (Methergine), the nurse checks the:
 
  a. color of the lochia.
  b. blood pressure.
  c. location of the fundus.
  d. last administration of analgesics.

Question 2

As you receive a report, which assessment finding should you recognize as indicative of a vaginal laceration?
 
  a. Fundus firm at the umbilicus
  b. Pulse of 90 bpm, blood pressure of 110/78 mm Hg
  c. Bright red continuous trickle of blood from vagina
  d. Client requested pain medication twice during last shift

[fromAlphatoOmega22]

Answer to Question 1

ANS: B
Methylergonovine (Methergine) elevates the blood pressure and should not be given to a woman who is hypertensive. The color of the lochia, location of the fundus, and analgesics are not related to the administration of or contraindicated to this medication.

Answer to Question 2

ANS: C
Lacerations of the birth canal should always be suspected if excessive bleeding continues when the fundus is firm. Bleeding from the genital tract often is bright red, in contrast to the darker red color of lochia; a firm fundus, pulse of 90 bpm, blood pressure of 110/78 mm Hg, and being medicated twice in one shift are common findings in the postpartum client.