You are caring for a patient who has been taking methylergonovine maleate (Methergine) for postpartum hemorrhage. It is not helping to control the hemorrhage. What procedure will most likely be ordered for this patient?
  1. Dilatation and curettage
  2. Laparotomy
  3. Hysterotomy
  4. Hysterectomy
Explanation
Answer: A - The patient will most likely need a dilatation and curettage. This vaginal procedure is to remove retained tissue from the uterus. The other procedures would be inappropriate for this type of hemorrhage.
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