Exam 64: Drugs That Affect Uterine Function

A postpartum patient is receiving methylergonovine to prevent hemorrhage. The nurse assesses the patient and notes a heart rate of 76 beats per minute,a respiratory rate of 16 breaths per minute,and a blood pressure of 120/80 mm Hg. The patient's uterus is firm. The patient complains of mild to moderate cramping. Bleeding is minimal. What will the nurse do?

A patient has received two doses of dinoprostone [Prepidil] to initiate labor. It has been 6 hours since the last dose. The nurse assesses the patient and notes that the cervix is ripe and dilated to 4 cm,but contractions are diminishing in intensity and frequency. What will the nurse expect to do?

Which drugs are useful for preventing preterm labor? (Select all that apply.)

A pregnant patient is 1 week post-term and will receive intravenous oxytocin. Which will the nurse evaluate before starting the infusion? (Select all that apply.)

A patient who is having her sixth child has gone beyond term,and her labor is being induced with oxytocin [Pitocin]. The patient is having increased frequency,duration,and intensity of contractions. The nurse will interrupt the oxytocin infusion if what occurs?

A nurse provides teaching to a woman who is taking tranexamic acid [Lysteda] for menorrhagia. Which statement by the patient indicates a need for further teaching?

A nurse is caring for a woman during the perinatal and postnatal period. To stop postpartum hemorrhage,how will the nurse administer oxytocin [Pitocin] to this patient?

A patient who has experienced preterm births with her previous two pregnancies will begin receiving hydroxyprogesterone caproate [Makena] to prevent preterm delivery with her current pregnancy. Which statement by the patient indicates a need for further teaching about this drug?

A patient is admitted to the obstetric unit in preterm labor at 36 weeks' gestation. The prescriber orders a tocolytic agent. When teaching the patient about this medication,the nurse will tell her that tocolytics:

A pregnant patient is being induced with oxytocin,which has been infusing for 1 hour. The initial rate was 6 milliunits/min,and the rate now is 18 milliunits/min. The nurse notes regular contractions occurring every 3 minutes,each lasting 35 seconds. The nurse will:

A patient is in preterm labor,and the prescriber orders magnesium sulfate for its neuroprotective effect on the fetus. The order calls for 4 gm given as an intravenous bolus over 20 minutes,followed by a maintenance infusion of 2 gm/hr. What will the nurse do?

Which are indications for early induction of labor? (Select all that apply.)