A nurse is caring for a patient who has excessive blood loss ...

[dalyningkenk]

A nurse is caring for a patient who has excessive blood loss post-delivery from uterine atony. The perinatal nurse notifies the health-care provider while another nurse performs uterine massage. Which medication does the nurse anticipate to be given as th
 
  A.
  Carboprost (Hemabate)
  B.
  Ergonovine (Ergotrate)
  C.
  Methylergonovine (Methergine)
  D.
  Oxytocin (Pitocin)

Question 2

The perinatal nurse administers heparin as ordered to the postpartum woman with newly diagnosed deep vein thrombosis. The patient asks about the purpose of the medication. Which response by the nurse is best?
 
  A.
  Assists with breakdown of the thromboses
  B.
  Decreases clotting time and circulatory clotting factors
  C.
  Prevents extension of the clot and new clot formation
  D.
  Prevents the formation of any new clots only

[gcook]

Answer to Question 1

ANS: D
If the cause of the hemorrhage is uterine atony, continual fundal massage with lower uterine segment support is mandatory. While one member of the team massages the fundus, another nurse establishes intravenous access with a large-bore needle and administers oxytocic drugs, starting with oxytocin. The other options are all useful in controlling postpartum hemorrhage, but oxytocin should be administered first.

Answer to Question 2

ANS: C
The primary purpose of heparin therapy is to prevent extension of the current clot and to prevent new clot formation. The other answers are not correct.

[dalyningkenk]

Thank you

[gcook]

Happy to help you