A laboring woman asks for IV pain medication. Which of the following patients would be a candidate for IV pain medication in labor? (Select all that apply)

A G3 P2 laboring patient with a current vaginal exam of 8/100%/0.

A G1 P0 laboring patient with a Category 1 strip and a current vaginal exam of 4/80 %/-1.

A G1 P0 laboring patient with the FHT showing no variability and late decelerations.

A G1 P0 laboring patient who has a vaginal exam of 5/100%/0 and contractions every 4 minutes. FHT's are 135 with moderate variability and no decelerations present

Fertilization

Blastosis

Answer and Explanation

Correct Answer : B,D

A. A G3 P2 laboring patient with a current vaginal exam of 8/100%/0: This patient is in advanced labor (transition phase) and IV pain medication is typically avoided due to the proximity to delivery, which could affect the newborn.

B. A G1 P0 laboring patient with a Category 1 strip and a current vaginal exam of 4/80%/-1: This patient is in active labor with normal fetal heart tracing, making her a suitable candidate for IV pain medication.

C. A G1 P0 laboring patient with the FHT showing no variability and late decelerations: This patient has non-reassuring fetal heart tracings, indicating potential fetal distress, making IV pain medication inappropriate as it could further compromise the fetus.

D. A G1 P0 laboring patient who has a vaginal exam of 5/100%/0 and contractions every 4 minutes: This patient is also in active labor with normal fetal heart tracings, making her a suitable candidate for IV pain medication.

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Correct Answer is C

Explanation

A. Both placenta abruptio and placenta previa can involve bright red bleeding, though their underlying causes and presentations differ. Therefore, this statement is not entirely accurate.

B. Placenta previa is usually visible on ultrasound, while placenta abruptio is diagnosed based on clinical signs (bleeding, pain) and ultrasound when available.

C. Abruptio placenta can cause severe abdominal pain due to the separation of the placenta from the uterine wall. This is a key distinguishing feature from placenta previa, which typically does not cause pain.

D. Placenta previa is not treated by induction of labor unless it is term and the placenta is low-lying. It is typically managed by planned cesarean delivery.

A. G4T1P2A1L3 B. G4T2P0A113 C. G3T1P2A1L3 D. G4T1P1A1L3

Correct Answer is A

Explanation

A. G4T1P2A1L3 correctly documents her four pregnancies (G4), one term birth (T1), two preterm births (P2), one abortion (A1), and three living children (L3).

B. G4T2P0A1L3 incorrectly suggests two term births and no preterm births.

C. G3T1P2A1L3 incorrectly suggests only three pregnancies.

D. G4T1P1A1L3 incorrectly indicates only one preterm birth.

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A laboring woman asks for IV pain medication. Which of the following patients would be a candidate for IV pain medication in labor? (Select all that apply)

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Naxlex Comprehensive Predictor Exams

The nurse is teaching a new nurse about the difference between placenta abruptio and placenta previa. Teaching was effective when the new nurse states which of the following statements

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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