A woman in labor has just received an epidural black. The most important nursing intervention is to:
Monitor the maternal pulse for possible bradycardia
Monitor the maternal blood pressure for possible hypotension.
Monitor the fetus for possible tachycardia.
Limit parenteral fluids
The Correct Answer is B
Epidural blocks are commonly used during labor to provide pain relief. However, they can also cause a sudden drop in blood pressure, known as epidural-induced hypotension, which can affect fetal oxygenation and fetal heart rate. Therefore, it is important to monitor maternal blood pressure frequently after an epidural block is administered.
While monitoring the maternal pulse is also important, hypotension is the most common complication of epidural anesthesia and can lead to decreased blood flow to the fetus. Therefore, monitoring maternal blood pressure is the priority.
Monitoring the fetus is also important, but it is not the most important intervention after an epidural block. Limiting parenteral fluids may be necessary in some cases to help prevent or treat hypotension, but it is not always necessary and should be done based on the individual situation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The Web of Causation model would be best for studying the complex relationships among factors that contribute to chronic disease. This model recognizes that chronic diseases result from the interplay of multiple factors at different levels, including individual, environmental, and societal factors. The model illustrates the complexity of these relationships and can help identify potential points for intervention.
Correct Answer is C
Explanation
After a forceps-assisted birth, the infant should be assessed for signs of trauma or injury, such as bruising, facial nerve injury, or skull fractures. This assessment should be done immediately after the birth to ensure prompt recognition and management of any issues.
Option A is incorrect because measuring the circumference of the infant's head can be done after the assessment for trauma has been completed and any issues have been addressed.
Option B is incorrect because applying a cold pack to the infant's scalp is not a standard nursing intervention after a forceps-assisted birth.
Option D is incorrect because prophylactic antibiotics are not routinely administered to infants after a forceps-assisted birth unless there is a specific indication, such as suspected infection.
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