Also, this page requires javascript. This NCLEX-RN practice quiz is to test your knowledge in Maternity Nursing during the prenatal period. Methergine or Pitocin are prescribed for a client with PP hemorrhage. 7. Generic Name: carboprost. The NCLEX Exam: Obstetrical Nursing – Postpartum includes 55 multiple choice questions in 2 sections. NCLEX Practice Questions Maternity Obstetrical Assessment Nursing This NCLEX practice test will test your knowledge on Maternity nursing during the obstetrical assessment. These conditions are worsened by the vasoconstriction effects of these medications. Symptoms rarely last more than one week. Late postpartum bleeding is often the result of subinvolution of the uterus. moderate lochia, isn't moving around too much. Retained products of conception or infection often cause subinvolution. Guidelines. To provide postpartum prophylaxis. Clinical response to … Study Ob NCLEX Meds Flashcards at ProProfs - NCLEX OB Meds ﷯﷯﷯ ﷯﷯﷯﷯ Used to stop preterm labor; B-adrenergic agonist; relaxes smooth muscle AE: SOB, coughing, tachypnea, pulm edema, tachycardia, palpitations, chest pain, hypotension, fluid retention and decreased urine production, tremors, dizziness, headache similar to Ritodrine, but less severe It is important you know about this condition for maternity nursing exams. Maier RC. Announcement!! Spend your time wisely! For the Consumer. A ten-day postpartum breastfeeding client telephones the postpartum unit complaining of a reddened, painful breast and elevated temperature. 6. 4. B. 8. Part 1: Therapeutic Communication in Nursing NCLEX Practice Quiz (25 Questions) Part 2: Therapeutic Communication in Nursing NCLEX Practice Quiz (25 Questions) Guidelines. All questions are shown, but the results will only be given after you’ve finished the quiz. Following a postpartum assessment: fundus slightly boggy but firm with massage at the two finger-breaths above the umbilicus and is deviated to the right. Medically reviewed by Drugs.com. If loading fails, click here to try again. 6. Quiz 1: Pediatric Nursing NCLEX Practice (50 Questions) Quiz 2: Pediatric Nursing NCLEX Practice (50 Questions) Quiz 3: Pediatric Nursing NCLEX Practice (50 Questions) Quiz 4: Pediatric Nursing NCLEX Practice (55 Questions) Guidelines. Cervical and vaginal tears can cause PP hemorrhage but are less common occurrences in the PP period. Based on assessment of the client's complaints, the nurse tells the client to: A. Once you are finished, click the button below. ... Carboprost Tromethamine or hemabate, and Oxytocin or Pitocin are medications used to treat postpartum hemorrhage. The least common reaction is postpartum psychosis, which occurs after 1 or 2 per thousand births. If this activity does not load, try refreshing your browser. Late postpartum bleeding is often the result of subinvolution of the uterus. 3. soaked 3 pads in the last hour. Preeclampsia and eclampsia NCLEX questions for nursing students! ... Quiz: NCLEX Questions For Safety And Infection Control Quiz: NCLEX Questions For Safety And Infection Control . Many nurses are playing now! Maternal Postpartum Assessment, Management and Education (26%) Questions in this domain will evaluate your knowledge and abilities relating to: Understanding and assessing the physiologic changes, including laboratory results across the reproductive, cardiopulmonary, genitourinary, gastrointestinal, hematological, and endocrine systems. Text Mode – Text version of the exam 1. Which of the following signs, if noted in the mother, would be an early sign of excessive blood loss? Urine retention causes a distended bladder to displace the uterus above the umbilicus and to the side, which prevents the uterus from contracting. Practice Mode – Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. 3. Choose the letter of the correct answer. Consumer; Professional; Note: This document contains side effect information about carboprost. If you leave this page, your progress will be lost. MD told pt due to her continued bleeding, take her to OR for a uterine curettage and balloon tamponade. Scenario after weight her 3 pads, the 367 grams of blood. Control of postpartum hemorrhage with uterine packing. Fundus at the umbilicus the midline. A rising pulse is an early sign of excessive blood loss because the heart pumps faster to compensate for reduced blood volume. Nursing interventions for oxytocin. True; False; 19. Hemabate; Available Dosage Forms: Solution; Therapeutic Class: Endocrine-Metabolic Agent. You can view your scores and the answers to all the questions by clicking on the SHOW RESULT red button at the end of the questions. Instrumental assisted birth (vacuum or forceps), Lacerations of the cervix or vaginal wall. Topics: Postpartum Care, Lochias!. breast feed. Guidelines. Before administering the medication(s), the nurse contacts the health provider who prescribed the medication(s) in which of the following conditions is documented in the client’s medical history? The physician should be notified if hypertension is present. You are offered one minute per question. The respiratory rate is increased slightly. Common side effects may include: mild nausea, vomiting, diarrhea; mild fever, chills; flushing (warmth, redness, or tingly feeling); cough, hiccups; headache; or. This is the part 1 of the NCLEX practice questions: OB/GYN – Antepartum quiz series. 2. Methergine or Pitocin is prescribed for a woman to treat PP hemorrhage. Quickly memorize the terms, phrases and much more. Exam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. Welcome to your nursing test bank and NCLEX practice questions for maternity and newborn nursing. For instances, you will need to be aware of prenatal screening & testing, diagnostic tests, nutrition, etc all through the prenatal period during pregnancy. Nurse Dee is choosing a priority action. Retained products of conception or infection often cause subinvolution. Case: notice the client is not urinated since indwelling catheter was removed 3 hours ago. A 25-item examination with concerns OB/GYN – Antepartum. These conditions are worsened by the vasoconstriction effects of these medications. ... Uterus may become atonic when medication wears off, increasing risk for postpartum hemorrhage. amy47 says: March 4, 2017 at 7:32 pm. Which of the following signs, if noted in the mother, would be an early sign of excessive blood loss? Peripheral vascular disease. Late postpartum bleeding is often the result of subinvolution of the uterus. The degree of hypertension was moderate and it is not certain as to whether this was in fact due to a direct effect of HEMABATE or a return to a status of pregnancy associated hypertension manifest by the correction of hypovolemic shock. Carboprost is given by injection to cause abortion. A rising pulse is an early sign of excessive blood loss because the heart pumps faster to compensate for reduced blood volume. 5. You have not finished your quiz. Administer Methergine 0.2 mg every 6 hours for 4 doses as ordered, Encourage the woman to void every 2 hours, Massage the fundus every hour for the first 24 hours following birth, Teach the woman the importance of rest and nutrition to enhance healing. Retained products of conception or infection often cause subinvolution. All questions are shown, but the results will only be given after you’ve finished the quiz. Which of the following circumstances is most likely to cause uterine atony and lead to PP hemorrhage? Check out each question carefully and pick the best answer. 2. Monitor vitals every 15 minutes. To be considered a PPH, what would the estimated blood loss have to be for a C-section? Answers and rationales are given below. Included in this nursing test bank are 500+ practice questions to test your competence on the concepts behind maternal and child health nursing, maternity nursing and obstetric nursing. Read chapters 18, 19, 20, 21 from your Text Book II. A priority nursing intervention is to check blood pressure. I would like to ask your permission to use your Postpartum NCLEX questions as part of my pre and post test. Our free Practice Test for the NCLEX-PN® exam will help you prepare for the types of questions you’ll encounter on the actual test, so you’ll feel more prepared when it’s time to tackle the real thing. You are given 1 minute per question, a total of 10 minutes in this quiz. 4. Carboprost is a form of prostaglandin (a hormone-like substance that occurs naturally in the body). In order to prepare for the NCLEX exam, you must know the basics about OB nursing and be able to answer questions … Prostaglandins help to control functions in the body such as blood pressure and muscle contractions.. Carboprost is used to treat severe bleeding after childbirth (postpartum).. Carboprost is also used to produce an abortion by causing uterine contractions. 2. What types of trauma during labour and birth would lead to PPH risk? 1. Welcome to your ultimate set of nursing pharmacology questions for the NCLEX!In this nursing test bank, test your competence in nursing pharmacology with these 500+ practice NCLEX questions.The goal of this quiz is to help nursing students review concepts of nursing pharmacology and provide an alternative to Quizlet or ATI. Don’t worry, we’re here to help! NCLEX Questions Nursing Test Bank and Review UPDATED! Thank you! The uterus needs to remain contracted if bleeding is to stay within normal limits. "Stop breastfeeding because you probably have an infection." Any items you have not completed will be marked incorrect. The NCLEX-RN exam will require you to know the basic information about OB nursing. Say that they are available for review on this site as well as other nursing information, but I can’t take credit for writing them. 3. 2005 Jul. The uterus needs to remain contracted if bleeding is to stay within normal limits. Massaging a firm fundus could cause it to relax. Monitor her lochia closely. 112/70, 105, 18, 98%. D. Uterine subinvolution. Which of the following complications is most likely responsible for a delayed postpartum hemorrhage? A postpartum woman has been diagnosed with postpartum psychosis. Option D: The blood pressure will fall as the blood volume diminishes, but a decreased blood pressure would not be the earliest sign of hemorrhage. We’ve made a significant effort to provide you with the most challenging questions along with insightful rationales for each question to reinforce learning. 4. These medications are avoided in clients with significant cardiovascular disease, peripheral disease, hypertension, eclampsia, or preeclampsia. Option D is related to the administration of magnesium sulfate. Including the support person in postpartum depression education creates a barrier to recognizing postpartum depression. During the 4th stage of labor, the maternal blood pressure, pulse, and respiration should be checked every 15 minutes during the first hour. Before administration of these medications, the priority nursing assessment is to check the: Methergine and pitocin are agents that are used to prevent or control postpartum hemorrhage by contracting the uterus. The physician has ordered an injection of RhoGam for the postpartum client whose blood type is A negative but whose baby is O positive. Please wait while the activity loads. 1. Be sure to read them. Study Flashcards On NCLEX Ch 26: Maternity and Newborn Medications at Cram.com. You are given 1 minute per question, a total of 10 minutes in this quiz. A. During the 4th stage of labor, the maternal blood pressure, pulse, and respiration should be checked every 15 minutes during the first hour. Is the NCLEX-PN® exam standing in the way of the nursing job of your dreams? Adverse effects of Hemabate. Maternal and Child Health Nursing (NCLEX Exams), You might be a Nurse if you believe every Patient needs TLC: Thorazine, Lorazepam, and Compazine :-). Options A and B are general components of postpartum assessment and nonspecific to the prescribed medication in this case. Last updated on Oct 2, 2020. These medications are avoided in clients with significant cardiovascular disease, peripheral disease, hypertension, eclampsia, or preeclampsia. Option A: A slight rise in temperature is normal. In any event the cases reported did not require specifi… In the news and on TV, postpartum psychosis is often called depression, but it is a separate and unique illness. Option B: A client with a clotting deficiency may also have an immediate PP hemorrhage if the deficiency isn’t corrected at the time of delivery. The fundus should be massaged only when boggy or soft. Options A and C: Cervical or perineal lacerations can cause an immediate postpartum hemorrhage. Uses for Hemabate. You have 10 mins to finish this exam. Before administration of these medications, the priority nursing assessment is to check the: 3. If severe it can lead to eclampsia, which is seizure activity that can progress to a coma or death. You can learn more in our section on difficult symptoms during pregnancy and postpartum. Which of the following complications is most likely responsible for a delayed postpartum hemorrhage? D. Uterine subinvolution. The physician should be notified if hypertension is present. 2. 112/70, 105, 18, 98%. Nurse Dee is preparing to notify the provider about Ms. Hodges's increased bleeding. Acta Obstet Gynecol Scand. Feelings of sadness during the first two weeks postpartum; More serious problem requiring followup and treatment from provider; Symptoms requiring immediate treatment; 18. Exam Mode – Questions and choices are randomly arranged, time limit of 1 min per question, answers and grade will be revealed after finishing the exam. Please visit using a browser with javascript enabled. Start studying NCLEX PN Medications; Maternity. Read and understand each question before choosing the best answer. Some of the dosage forms listed on this page may not apply to the brand name Hemabate. It is an oxytocic, which means it acts by causing the uterus to contract the way it does during labor and also helps the cervix to dilate. A priority nursing intervention is to check blood pressure. 5. Which best describe Postpartum Depression? A nurse is monitoring a new mother in the PP period for signs of hemorrhage. Scenario due to her history of asthma and her meds on it, MD changes to oxycin. 2. C. Massage the fundus every hour for the first 24 hours following birth. Options A and C: Cervical or perineal lacerations can cause an immediate postpartum hemorrhage. Methergine and pitocin are agents that are used to prevent or control postpartum hemorrhage by contracting the uterus. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Cram.com makes it easy to get the grade you want! To be considered a PPH, what would the estimated blood loss have to be for a C-section? They cause continuous uterine contractions and may elevate blood pressure. 9. "Notify your physician because you may need medication." Good luck! Urine retention causes a distended bladder to displace the uterus above the umbilicus and to the side, which prevents the uterus from contracting. Seror J, Allouche C, Elhaik S. Use of Sengstaken-Blakemore tube in massive postpartum hemorrhage: a series of 17 cases. Preeclampsia is a complication that can occur during pregnancy. In this lesson I will explain the medications used for postpartum hemorrhage and your role in administering these. 10. What types of trauma during labour and birth would lead to PPH risk? Since this is a review, answers and rationales are shown after you click on the "Check" button. A nurse obtains the vital signs on a mother who delivered a healthy newborn infant 2 hours ago and notes that the mother's temperature is 102 F. Answer to I. Our hottest nursing game is out now in the App Store. B. A blood pressure change from 130/88 to 124/80 mm Hg. Following a postpartum assessment: fundus slightly boggy but firm with massage at the two finger-breaths above the umbilicus and is deviated to the right. Options A, B, and D are all effective measures to enhance and maintain contraction of the uterus and to facilitate healing. The fundus should be massaged only when boggy or soft. ... 6,000 Practice NCLEX Questions; Join Now. breast feed. A nurse is monitoring a new mother in the PP period for signs of hemorrhage. You are given one minute per question. Massaging a firm fundus could cause it to relax. Read each question carefully and choose the best answer. Practice Mode – Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. For example, be familiar with testing, nursing care, complications, and signs and symptoms. 1993 Aug. 169(2 Pt 1):317-21; discussion 321-3. . Read and understand each question before choosing the best answer. An increase in the pulse from 88 to 102 BPM. Learn about drug imprint, side effects, uses (treating), dosage, interaction, overdose, and warnings. moderate lochia, isn't moving around too much. 1. Which measure would be least effective in preventing postpartum hemorrhage? C. Urine retention. Since this is a review, answers and rationales are shown after you click on the "Check" button. Methergine or Pitocin is prescribed for a woman to treat PP hemorrhage. Pharmacologic Class: Prostaglandin. Which of the following is essential to be included in the family teaching for this client? ... directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. 7. 8. did a straight cath and UO 600 ml. They cause continuous uterine contractions and may elevate blood pressure. Choose the letter of the correct answer. For this nursing test bank, we have included more than 1,000+ NCLEX practice questions covering different nursing topics! mild pelvic pain or menstrual-type cramps. Atonic bleeding is due to a lack of tone in the uterus. What is Hemabate (Carboprost Tromethamine)? An increase in the pulse from 88 to 102 BPM, An increase in the respiratory rate from 18 to 22 breaths per minute, A blood pressure change from 130/88 to 124/80 mm Hg. Increased blood pressure. Hemabate Side Effects. 84(7):660-4. . Which of the following circumstances is most likely to cause uterine atony and lead to PP hemorrhage? Which measure would be least effective in preventing postpartum hemorrhage?

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