Methylergonovine has been ordered for a postpartum patient. The nurse should withhold this drug when which of the following is present?
Explanation
• Methylergonovine (Methergine) is ordered to prevent postpartum 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 a woman with an elevated blood pressure.
• Methylergonovine administration is sometimes necessary up to 8 hours after birth to promote uterine contraction to prevent postpartum hemorrhage. If the uterus suddenly relaxes, there may be an abrupt gush of blood from the placental site.
• Incorrect: Increased uterine blood flow will increase the risk of severe hemorrhage, so this is not a contraindication.
• Incorrect: Pulse of 89 is within normal limits. Temperature of 100.1 should be reassessed after 15 minutes. A slight increase in temperature might happen if the woman is confined in a humid environment.
• Incorrect: The woman should be informed that tender breasts after birth are considered normal because the breasts begin to engorge to prepare for lactation.