A. A blood pressure of 94/60 is low but not typically a contraindication for Terbutaline administration.
A pulse of 132 is high and could be a sign of tachycardia, which is a known side effect of Terbutaline, potentially making the use of this medication unsafe.
Uterine contractions (UCs) every 10 minutes do not indicate any immediate concern or contraindication for Terbutaline.
A category 1 FHR is reassuring and would not contraindicate the use of Terbutaline.
The Correct Answer is C
A. While assessing blood pressure is important, the first priority is to address potential uterine atony, which is the most common cause of postpartum hemorrhage.
B. Bladder distention could be a contributing factor, but uterine massage is the first step to manage uterine tone and control bleeding.
C. Massaging the fundus is the first action to take when the patient is saturating a pad quickly after delivery, as this helps stimulate uterine contractions to control bleeding.
D. Preparing to administer oxytocic medication may be necessary if uterine massage does not effectively control bleeding, but it should come after assessing the uterus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C, A, D, B
Explanation
Drying the baby is the most important first step to prevent heat loss and initiate thermoregulation. Suctioning is needed if there are signs of airway obstruction but is secondary to ensuring the baby’s warmth. Applying identification bracelets is necessary to ensure proper identification but is not as critical as ensuring the baby is warm and breathing. Teaching the mother cord care can be done after addressing more immediate concerns such as warmth and identification.
Correct Answer is ["A","C"]
Explanation
A. Maternal hypotension is a common side effect of epidural anesthesia, which can reduce uteroplacental blood flow and lead to late decelerations in the fetal heart rate.
B. Maternal tachycardia is not typically associated with late decelerations; it is more often seen with early decelerations or fetal distress.
C. An IV bolus prior to the epidural helps maintain blood volume and prevent hypotension. Without it, the risk of hypotension and subsequent late decelerations increases.
D. Placenta previa typically causes painless vaginal bleeding and may lead to abnormal FHR patterns, but it is not a direct cause of late decelerations post-epidural.
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