86. A client, who is gravida 6, para 5 and in the fourth stage of labor, receives an injection of carboprost (Hemabate) 250 mcg IM. The nurse knows that the expected outcomes of this medication are:
Select all that apply.
86. A client, who is gravida 6, para 5 and in the fourth stage of labor, receives an injection of carboprost (Hemabate) 250 mcg IM. The nurse knows that the expected outcomes of this medication are:
Select all that apply.
. Increased uterine atony.
. Delayed uterine involution.
. Increased myometrial contractions.
. Decreased blood pressure.
. Increased contractility of gastrointestinal smooth muscle.
Test-Taking Tip
A memory tip: the name of the medication is "heme" "abate"; "heme" means blood and "abate" means to decrease or reduce. This medication is used to reduce bleeding after delivery.
Content Area: Maternity, Intrapartum; Integrated Process: Nursing Process, Analysis; Cognitive Level: Analysis; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies/Expected Effects/Outcomes
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Answer 1 is incorrect because Hemabate decreases uterine atony, by increasing smooth muscle contractions. Answer 2 is incorrect because Hemabate increases uterine contractions, not decreases uterine contractions (the process of involution). Answer 3 is correct because the major action of Hemabate is to increase uterine (myometrial) contractions and decrease uterine bleeding. Answer 4 is incorrect because Hemabate increases smooth muscle contractions, including vascular smooth muscles. Hemabate usually results in an increase in blood pressure, not a decrease in blood pressure. Answer 5 is correct because Hemabate causes increased smooth muscle contractions, including gastrointestinal smooth muscle, which can lead to diarrhea.