For each medication below, click to select the appropriate nursing action. (Each category can have zero or more response options selected)

Oxytocin (Pitocin) Monitor contractions: Oxytocin stimulates uterine contractions; excessive stimulation can lead to uterine rupture or fetal distress. Administer IV before placenta delivery: Used to induce labor or manage the third stage by promoting uterine contractions and preventing postpartum hemorrhage. Carboprost (Hemabate) Administer IM for postpartum hemorrhage: Carboprost is used when first-line therapies fail to manage bleeding. Monitor GI side effects: Carboprost can cause nausea, vomiting, and diarrhea. Avoid in liver disease: Due to its metabolism in the liver, this drug can be harmful to clients with liver impairment. Misoprostol (Cytotec) Empty bladder & intravaginal admin: An empty bladder minimizes risk of trauma and enhances the effectiveness of cervical ripening. Cervical ripening agent: Often used to induce labor. Position after use: Keeping the client in a supine position with lateral tilt improves drug absorption and reduces the risk of expulsion. Methylergonovine (Methergine) Hypertensive crisis risk: This drug causes vasoconstriction, so it is contraindicated in clients with high blood pressure due to the risk of severe complications such as stroke. Nursing actions without a proper match: "Ensure the client has a full bladder before administration" "Administer orally for preeclampsia" "Encourage oral intake of grapefruit juice" Some nursing actions do not match the medications provided, as they are irrelevant to the uterotonic drugs listed,