# A postpartum client with uterine atony has chronic hypertension and asthma. For each medication order, identify the condition-specific follow-up indicated by the prescribing information. One column applies to each row.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=513815&lang=en  
> language: en  
> subject: Adverse Effects/Contraindications/Interactions  
> category: PPT

## Question

A postpartum client with uterine atony has chronic hypertension and asthma. For each medication order, identify the condition-specific follow-up indicated by the prescribing information. One column applies to each row.

|  | Follow up because of hypertension | Follow up because of asthma | Neither of these two condition-specific warnings |
| --- | --- | --- | --- |
| Methylergonovine 0.2 mg IM |  |  |  |
| Carboprost 250 mcg IM |  |  |  |
| Oxytocin IV infusion by protocol |  |  |  |

## Explanation

Methylergonovine is contraindicated in hypertension. Carboprost should be used cautiously in clients with a history of asthma. Neither of those two condition-specific warnings is the reason to question the oxytocin order.

## In-depth explanation

Quick answer
Link methylergonovine to hypertension, carboprost to asthma, and oxytocin to neither of those specific warnings.

Why this is correct
The methylergonovine label lists hypertension as a contraindication. The carboprost label advises caution with asthma. The oxytocin label does not list either chronic hypertension or asthma as the specific contraindication represented in this matrix; full order and client monitoring still apply.

Easy analogy or mental picture
Use two red flags on the medication shelf: one flag says blood pressure for methylergonovine, and the other says airways for carboprost.

Memory hook
Methylergonovine: hypertension. Carboprost: asthma.

NCLEX decision rule
Match the client's comorbidity to the drug's labeled contraindication or precaution before administration. Selecting no listed condition-specific concern does not mean no monitoring is needed.

Why the other choices are wrong
Hypertension is not the selected condition-specific warning for carboprost in this item, and asthma is not the listed methylergonovine contraindication. Oxytocin still requires appropriate indication, route, dose, and monitoring.References
1DailyMed: MethylergonovineHypertension contraindication
2DailyMed: Carboprost TromethamineCaution with a history of asthma
3DailyMed: Oxytocin InjectionLabeled contraindications and monitored administration

## Clinical scenario

Postpartum order check
Compare each uterotonic order with blood pressure history, respiratory history, route, and the current hemorrhage protocol before administration.

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