A nurse is caring for a client who has a soft uterus and increased lochial flow.

Which of the following medications should the nurse plan to administer to

promote uterine contractions?

Methylergonovine

- Methylergonovine is an ergot alkaloid, which promotes uterine contractions for

a client who is experiencing postpartum hemorrhage

- Oxytocin and misoprostol: promotes uterine contractions

o Discontinue oxytocin infusion in the presence of tachysystole, late or

variable decelerations.

- Nifedipine, terbutaline, and Indomethacin are smooth muscle relaxants given

to clients experiencing preterm labor

- Magnesium sulfate is given to clients who have preeclampsia to lower blood

pressure and minimize risk of seizures

- Carboprost appropriate action for managing postpartum hemorrhage

A nurse is assessing a postpartum client who reports strong contractions

whenever she breastfeeds her newborn. The nurse should respond with which of

the following statements?

The same hormone that is released in response to the baby’s sucking and causes milk

to flow also makes the uterus contract (oxytocin)

- Prolactin is responsible for milk production

- Uterine contractions with breastfeeding do not indicate that the uterus is trying to

expel clotted blood. Small clots are typically expressed in the lochia rubra

- The hormones that affect breast functions, such as milk production, are

produced by the anterior pituitary gland and the posterior pituitary gland

A nurse is providing counseling for a couple experiencing infertility issues.

Which of the following statements by the nurse is appropriate?

“You might want to join our support group for couples who are experiencing similar

problems”

A nurse administers betamethasone to a client who is at 33 weeks gestation to

stimulate fetal lung maturity. When planning care for the newborn, which of the

following conditions should the nurse identify as an adverse effect of this

medication?

Decreased blood glucose

- Betamethasone causes hyperglycemia in the client, which predisposes the

newborn to hypoglycemia in the first hours after delivery. The nurse must assess

the newborn’s blood glucose level within the first hour following birth and

frequently thereafter until blood glucose levels are stable