A nurse is caring for a client who is in labor and just received epidural anaesthesia. The client’s blood pressure is 90/50 mm Hg. Which of the following actions should the nurse take?

Turn the client onto their side

Initiate an amnioinfusion for the client

Administer naloxone to the client

Monitor the client’s blood pressure every 15 min

Answer and Explanation

The Correct Answer is A

A common side eﬀect of epidural anaesthesia is a drop in blood pressure. Turning the client onto their side can help improve blood ﬂow to the uterus and baby and may help raise the mother’s blood pressure.

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Correct Answer is A

Explanation

Transmission can occur through bodily ﬂuids, including urine, saliva, blood, breast milk, and cervical secretions. Therefore, pregnant women can acquire CMV by close contact with young children who are shedding the virus, or by exposure to contaminated body ﬂuids in healthcare settings or through sexual activity.

A. Oﬀer to take the newborn to the nursery to finish his feeding B. Insist that the mother pick up the newborn to feed him C. Demonstrate how to hold the newborn and allow the client to practice D. Persuade the client to breastfeed the newborn to promote bonding

Correct Answer is C

Explanation

This option respects the mother's wishes of not wanting to hold the newborn while also allowing the nurse to provide education on safe and appropriate feeding positions. It also gives the mother the opportunity to learn and practice holding the newborn in a safe way.

Option a, oﬀering to take the newborn to the nursery, may not be necessary as the mother is already oﬀering the baby a botle.

Option b, insisting that the mother pick up the newborn, would not be respectful of her wishes and could potentially damage the trust and rapport between the mother and nurse.

Option d, persuading the client to breastfeed, may not be appropriate or feasible in this situation as it may not be the mother's preferred feeding method and may not address the immediate concern of the newborn being too tired to be held.

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A nurse is caring for a client who is in labor and just received epidural anaesthesia. The client’s blood pressure is 90/50 mm Hg. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching?

Correct Answer is A

Explanation

Correct Answer is C

Explanation

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