A nurse is caring for a client who is in active labor and requesting an epidural. Which of the following actions should the nurse take?

Give ondansetron IV to the client.

Administer IV fluid bolus to the client.

Delay the epidural until the client is dilated to 7 cm.

Initiate oxygen via nonrebreather to support patterned breathing

Answer and Explanation

The Correct Answer is B

A. Ondansetron is used to treat nausea but is not a routine pre-epidural intervention.
B. Administering an IV fluid bolus before epidural anesthesia helps prevent hypotension caused by sympathetic blockade.
C. Epidurals can be administered earlier than 7 cm dilation based on maternal request and clinical assessment.
D. Oxygen administration is not routinely required before an epidural unless fetal distress or maternal hypoxia is present.

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Correct Answer is C

Explanation

A. Hypotension, not hypertension, is expected in hemorrhagic shock due to blood loss.
B. Tachypnea, not bradypnea, usually occurs as the body tries to compensate for hypoxia.
C. Tachycardia is an early compensatory response to blood loss to maintain cardiac output.
D. Oliguria (decreased urine output), not polyuria, is expected due to poor perfusion of kidneys in shock.

A. Instruct the mother to delay breastfeeding for 1 week. B. Initiate airborne precautions. C. Wait at least 24 hr before bathing the newborn. D. Administer hepatitis B immune globulin IM to the newborn.

Correct Answer is D

Explanation

A. Breastfeeding is not contraindicated in mothers with hepatitis B if the newborn receives appropriate prophylaxis.
B. Airborne precautions are not necessary; hepatitis B is transmitted through blood and body fluids, not airborne droplets.
C. Bathing the newborn does not affect hepatitis B transmission risk and does not need to be delayed.
D. Administering hepatitis B immune globulin (HBIG) IM to the newborn within 12 hours of birth, along with the first dose of the hepatitis B vaccine, is essential to prevent vertical transmission of hepatitis B virus.

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A nurse is caring for a client who is in active labor and requesting an epidural. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is postpartum and is experiencing hemorrhagic shock. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is preparing the plan of care for a term newborn who was asymptomatic at birth and whose mother had hepatitis B during pregnancy. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is D

Explanation

A nurse is caring for a client who is postpartum following a vaginal birth. Which of the following analgesic medications should the nurse plan to administer and document in the client's medical record?

A nurse is assessing a client who received methylergonovine to treat uterine atony in the fourth stage of labor. Which of the following findings should the nurse identify as an adverse effect of the medication?

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