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 D

Explanation

A. Assessing cervical dilation is contraindicated due to risk of worsening bleeding with abruptio placenta.
B. Vaginal swabs for ferning test are used to assess rupture of membranes, not abruptio placenta.
C. Administering oxytocin can increase uterine contractions and worsen placental separation, so it is contraindicated.
D. Monitoring fetal heart rate tracings is essential to assess fetal well-being in cases of abruptio placenta.

A. Insert the diaphragm after you empty your bladder B. "Apply baby powder to the diaphragm during storage C. "An oil-based lubricant should be used when inserting the diaphragm D. The diaphragm should be left in place for 4 hours after intercourse

Correct Answer is A

Explanation

A. The diaphragm should be inserted after emptying the bladder to reduce the risk of urinary tract infections.
B. Baby powder should not be applied to the diaphragm as it can cause irritation or damage.
C. Oil-based lubricants can degrade latex diaphragms and reduce their effectiveness; only water-based lubricants should be used.
D. The diaphragm should be left in place for at least 6 hours after intercourse, not just 4 hours, to ensure effective contraception.

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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 caring for a client who is at 35 weeks of gestation and has moderate abruptio placenta. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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