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

Initiate an amnioinfusion for the client.

Turn the client onto their side.

Monitor the client's blood pressure every 15 min.

Administer naloxone to the client.

Answer and Explanation

The Correct Answer is B

It’s normal for blood pressure to fall a little when a client receives an epidural.

If necessary, ﬂuids and medicine can be given through a drip to keep blood pressure normal.

Choice A) is not correct because initiating an amnioinfusion is not mentioned as an immediate intervention for low blood pressure after epidural anesthesia .

Choice C) is not correct because monitoring the client’s blood pressure every 15 min is not mentioned as an immediate intervention for low blood pressure after epidural anesthesia .

Choice D) is not correct because administering naloxone to the client is not mentioned as an immediate intervention for low blood pressure after epidural anesthesia .

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Correct Answer is ["B","C","D","E"]

Explanation

Applying counterpressure to the sacral area can help alleviate back pain during labor.

Ambulating the client in the hallway can help with pain management and facilitate labor progress.

Administering nitrous oxide mixed with oxygen can provide pain relief during labor.

Having the client sit upright can help with pain management and facilitate labor progress.

Choice A is incorrect because performing Leopold maneuvers is a technique used to assess fetal position and presentation and is not a pain management technique.

Correct Answer is ["1227"]

Explanation

Naegele’s rule is a method for estimating the due date of a baby based on the woman’s last menstrual period (LMP).

It involves adding seven days and subtracting three months from the ﬁrst day of the LMP.

It assumes a 28-day menstrual cycle and a 280-day gestation period, which may vary for diﬀerent women 1.

Using this rule, if the client’s last menstrual period was March 20, then adding seven days would give March 27.

Subtracting three months would give December 27 of the previous year.

Adding one year would give December 27 of the current year, which is the estimated date of delivery in MMDD format: 1227.

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A nurse is caring for a client who is in labor and just received epidural anesthesia. The client's blood pressure is 90/50 mm Hg. 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 in the latent phase of the first stage of labor and is in pain. Which of the following nursing interventions are appropriate to reduce pain? (Select all that apply.)

Correct Answer is ["B","C","D","E"]

Explanation

A nurse is assessing a client during her first prenatal visit. The client reports March 20 as her last menstrual period. Use Naegele's rule to calculate the estimated date of delivery. (Use the MMDD format with four numerals and no spaces or punctuation: MMDD.)

Correct Answer is ["1227"]

Explanation

A nurse is caring for a client who is at 30 weeks of gestation and is receiving magnesium sulfate for preeclampsia. The nurse should recognize which of the following manifestations as an adverse reaction to the medication?

A nurse is using Nägele's Rule to calculate the expected delivery date of a client who reports that the first day of her last menstrual cycle was July 28th. Which of the following dates should the nurse document as the client's expected delivery date?

A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate. Which of the following clinical findings should the nurse instruct the client to report?

A nurse is assessing a client who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion. Which of the following findings should the nurse report to the provider?

A nurse is caring for a client who is postpartum and experiencing hypovolemic shock. Which of the following findings should the nurse expect?

A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider?

A nurse is providing dietary teaching to a client who is at 32 weeks of gestation and has cholelithiasis. Which of the following foods should the nurse recommend for the client to include in her diet?

After completing post anesthesia recovery assessments, the registered nurse (RN) asks the practical nurse (PN) to transfer four clients, each two hours post-birth, to the postpartum unit. Which client should the PN ask the RN to reassess prior to transfer?

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