A 27-year-old primigravida asks the nurse how much iron she needs during her pregnancy. The correct response of the nurse is:

30 mg per day


•Methylergonovine (Methergine) is ordered to prevent postpartal hemorrhage. However, Methergine can cause hypertension by vasoconstriction. It is important to obtain a baseline blood pressure before administering the drug. Methergine should not be given to women with an elevated blood pressure.

•Methylergonovine administration is necessary up to 8 hours after birth to promote uterine contraction to prevent postpartal hemorrhage. If the uterus suddenly relaxes there will be an abrupt gush of blood from the placental site.

•Increased uterine blood flow will increase the risk of severe hemorrhage, this is not a contraindication.

•Pulse of 89 is within normal limits.

•The woman should be informed that tender breasts after birth is normal since the breasts begin to engorge to prepare for lactation.

•Temperature of 100.1 should be reassessed after 15 minutes. Slight increase in temperature might happen if the woman is confined in a humid environment.

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