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    ATI NURS 306 Maternal Newborn Proctored Exam

    Given the following information, identify the adverse effects related to each medication order. AG1PO delivered a baby that weighs 10 lbs. Patient has a boggy uterus, it is midline, and +1 hour after delivery. Perineal pad is saturated with large golf size clots in 30 minutes. Identify the adverse effects of the medications listed in the order set. Medication: Methergine (Methylergonovine), Oxytocin (Pitocin), Hemabate (carboprost tromethamine), Misoprostol (Cytotec).

    Explanation & Rationale

    Choice A rationaleMisoprostol (Cytotec) stimulates smooth muscle contraction, including the gastrointestinal tract, leading to increased bowel motility and diarrhea. Normal bowel frequency ranges from 3 times per day to 3 times per week.Choice B rationaleMethergine (Methylergonovine) constricts blood vessels, leading to increased blood pressure and a risk of hypertensive crisis. Normal blood pressure is around 120/80 mmHg.Choice C rationaleHemabate (carboprost tromethamine) is a prostaglandin analog, which can cause bronchoconstriction, exacerbating asthma symptoms in patients. Normal peak flow ranges from 400-700 L/min.Choice D rationaleOxytocin (Pitocin) can cause fever, chills, and hypotension due to its effects on vascular smooth muscle and thermoregulatory centers. Normal body temperature is around 37°C (98.6°F).

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