The nurse on a postpartum unit is reviewing the medication ...

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The nurse on a postpartum unit is reviewing the medication administration record of a patient receiving IV methylergonovine (Methergine). For which of the following patients would the nurse question the order?
 
  a. Patient with diabetes
  b. Patient with a urinary tract infection (UTI)
  c. Patient with a migraine
  d. Patient with hypertension

Question 2

An OB/GYN nurse is teaching a class on medications that affect uterine function. The nurse asks the class, For what purpose or purposes are tocolytic agents used?
 
  Which response by a member of the class would indicate a need for further teaching? Tocolytics are used to
  a. augment labor.
  b. control postpartum bleeding.
  c. induce abortion.
  d. suppress preterm labor.

[mmj22343]

Answer to Question 1

ANS: D
Hypertension can be severe and may be associated with nausea, vomiting, and headache; convulsions and death have occurred.
Nothing indicates that diabetes or a UTI is contraindicated for use of this medication.
Migraine is not a contraindication. However, methylergonovine may cause migraine because of its vasodilative effect.

Answer to Question 2

ANS: D
Tocolytic agents are not used to suppress preterm labor; this statement indicates that further teaching is necessary.
Tocolytic agents induce labor and abortion and control postpartum bleeding; no further teaching is needed.

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Excellent

[amandanbreshears]

Thanks for the timely response, appreciate it