A primigravida dilated to 5 cm will receive an epidural for pain.
Which of the following interventions will help prevent hypotension in the patient?

Administering epinephrine before the procedure.

Positioning client on her back prior to the procedure.

Having her eat a carbohydrate snack prior to the procedure.

Administering a bolus of 0.9% Normal saline IV fluid before the procedure.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Administering epinephrine before the procedure is not standard practice to prevent hypotension associated with epidurals. Epinephrine is used in emergency situations to treat severe allergic reactions or cardiac arrest, not for preventing epidural-induced hypotension.

Choice B rationale

Positioning the client on her back prior to the procedure is not recommended, as it can exacerbate hypotension due to compression of the inferior vena cava by the gravid uterus. This position can decrease venous return to the heart and reduce cardiac output.

Choice C rationale

Having the patient eat a carbohydrate snack prior to the procedure is not a standard intervention to prevent hypotension during an epidural. Dietary intake does not directly prevent the vasodilatory effects of the epidural anesthesia.

Choice D rationale

Administering a bolus of 0.9% Normal saline IV fluid before the procedure is the correct intervention to prevent hypotension. Preloading with IV fluids increases intravascular volume, counteracting the vasodilation and potential drop in blood pressure caused by the epidural anesthesia. .

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Correct Answer is D

Explanation

Choice A rationale

Administering oxytocin is not appropriate at this stage since the fetal head at a +5 station indicates imminent delivery.

Choice B rationale

Applying fundal pressure is not recommended and can cause complications such as uterine rupture or maternal injury.

Choice C rationale

Suctioning the mouth of the infant at the perineum should be done only after the head is delivered to clear airway obstructions.

Choice D rationale

Observing for the presence of a nuchal cord is crucial as it can cause complications during delivery, requiring immediate attention.

Correct Answer is ["0.43"]

Explanation

Step 1 is to calculate the total dose required: 4300 g × (2 mg ÷ 1000 g) = 8.6 mg.

Step 2 is to calculate the volume to draw up: 8.6 mg ÷ (20 mg ÷ 1 mL) = 0.43 mL. Final answer: 0.43 mL. .

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A primigravida dilated to 5 cm will receive an epidural for pain.Which of the following interventions will help prevent hypotension in the patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is gravida 3, para 2, and is in active labor.The fetal head is at 5+ station after a vaginal examination.Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A newborn who weighs 4300 grams is receiving ampicillin 2mg/kg IV once per day. The vial reads 20mg/mL. How much will the nurse draw up in the syringe for one dose? (Enter your answer in numbers only. No units.)

Correct Answer is ["0.43"]

Explanation

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A primigravida dilated to 5 cm will receive an epidural for pain.
Which of the following interventions will help prevent hypotension in the patient?