Following a Difficult Vaginal Birth of a Singleton Pregnancy, the Client

question 8

Multiple Choice

Following a difficult vaginal birth of a singleton pregnancy, the client starts bleeding heavily. Clots are expressed and a Foley catheter is inserted to empty the bladder because the uterine fundus is soft and displaced laterally from midline. Vital signs are 99.8° F, pulse 90 beats/min, respirations 20 breaths/min, and BP 130/90 mm Hg. Which pharmacologic intervention is indicated?

• A) Oxytocin (Pitocin) to be administered in a piggyback solution
• B) Administration of methylergonovine (Methergine)
• C) Administration of prostaglandin analogue
• D) Increase in parenteral fluids

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Definitions:

Pre-revolutionary France

Refers to the historical period in France before the French Revolution of 1789, characterized by monarchy rule, social inequities, and fiscal crises leading up to significant societal upheaval.

Nobles

Members of the aristocracy or nobility, a social class in various countries distinguished by hereditary titles or privileges, often holding significant wealth, land, and power.

Battle of Valmy

A significant battle during the French Revolutionary Wars, fought in 1792, which marked the first major victory of the French revolutionary army over the invading Prussian and Austrian forces.

Prussian

Pertaining to Prussia, a historically significant state in Europe, known for its powerful military and influential role in German and European affairs.