A nurse is caring for a client who is in the first stage of labor.
The nurse observes the umbilical cord protruding from the vagina.
Which of the following actions should the nurse NOT perform?

Choice A rationale

Ergonovine maleate is used to treat postpartum hemorrhage by causing uterine contractions. It is not used to treat hypotension caused by epidural anesthesia.

Choice B rationale

Epoetin is a medication used to treat anemia by stimulating the production of red blood cells. It is not used to treat hypotension caused by epidural anesthesia.

Choice C rationale

Adrenaline (epinephrine) is used in emergency situations to treat severe allergic reactions, cardiac arrest, and severe asthma attacks. It is not the first-line treatment for hypotension caused by epidural anesthesia.

Choice D rationale

Ephedrine is a medication used to treat hypotension caused by epidural anesthesia. It increases blood pressure by stimulating the release of norepinephrine and improving cardiac output.

Choice A rationale

2 cm dilated, 60% effaced, 2 cm below the ischial spines is incorrect because the -2 station means the presenting part is above the ischial spines, not below.

Choice B rationale

2 cm dilated, 60% effaced, 2 cm above the ischial spines correctly interprets the given data: cervical dilation, effacement, and station relative to the ischial spines.

Choice C rationale

2 cm effaced, 60% dilated, 2 cm below the ischial spines is incorrect because it reverses effacement and dilation figures and incorrectly places the station.

Choice D rationale

2 cm effaced, 60% dilated, 2 cm above the ischial spines is incorrect due to reversed effacement and dilation figures, though the station is correctly above the ischial spines.