A nurse is attending to a patient in labor who has received an epidural anesthesia block. The patient’s blood pressure reads 80/40 mm Hg and the fetal heart rate is 140/min.
What should be the nurse’s immediate course of action?
Monitor vital signs every 5 minutes.
Elevate the patient’s legs.
Notify the healthcare provider.
Position the patient laterally.
Position the patient laterally.
The Correct Answer is D
If a patient in labor who has received an epidural anesthesia block has a blood pressure reading of 80/40 mm Hg, the nurse’s immediate course of action should be to position the patient laterally. This helps to maximize venous return and cardiac output, thereby improving maternal blood pressure and fetal perfusion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
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G (Gravida): Total number of pregnancies → 4
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T (Term births): Delivered at 37 weeks or more → One (39 weeks) → T = 1
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P (Preterm births): Delivered between 20–36 weeks → Twins (34 weeks, 1 pregnancy) + One at 35 weeks = 2 preterm pregnancies → P = 2
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A (Abortions): Pregnancies ending before 20 weeks → 0
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L (Living children): One from term birth, two from twins, and one from the other preterm = 4 living children → L = 4
Correct Answer: D. G4 T1 P2 A0 L4
Correct Answer is B
Explanation
Choice A rationale
Repaglinide is an oral medication used to control blood sugar levels in adults with type 2 diabetes. It is not typically used in pregnant women, especially those unable to control their gestational diabetes with diet and exercise.
Choice B rationale
Insulin is the most common medication used to control blood sugar levels in pregnant women, especially those unable to control their gestational diabetes with diet and exercise.
Choice C rationale
Glipizide is an oral medication used to control blood sugar levels in adults with type 2 diabetes. It is not typically used in pregnant women, especially those unable to control their gestational diabetes with diet and exercise.
Choice D rationale
Acarbose is an oral medication used to control blood sugar levels in adults with type 2
diabetes. It is not typically used in pregnant women, especially those unable to control their gestational diabetes with diet and exercise.
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