Which of the following is an indication for the administration of methylergonovine?
a. Boggy uterus that does not respond to massage and oxytocin therapy
b. Woman with a large hematoma
c. Woman with a deep vein thrombosis
d. Woman with severe postpartum depression
ANS: a
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a. Methylergonovine (methergine) is ordered for PPH due to uterine atony or subinvolution. It is used when massage and oxytocin therapy have failed to contract the uterus.
b. Hematoma occurs when blood collects within the connective tissues of the vagina or perineal areas related to a vessel that ruptured and continues to bleed. Methylergonovine stimulates contraction of the smooth muscle of the uterus and would not have an effect on the vaginal or perineal areas.
c. Heparin is usually prescribed for treatment of thrombosis.
d. Methylergonovine is prescribed for treatment of uterine atony.
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