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

Answer and Explanation

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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Correct Answer is D

Explanation

The baseline fetal heart rate is the average heart rate over a 10-minute period, excluding accelerations and decelerations, and is an important indicator of fetal well-being during labor.

A baseline fetal heart rate of 110-160 beats/min is considered normal. A baseline heart rate of less than 110 beats/min is considered bradycardia, which can be a sign of fetal distress or hypoxia. A baseline heart rate greater than 160 beats/min is considered tachycardia, which can also be a sign of fetal distress or hypoxia.

A. A G3P2 whose youngest child is 3 years old. B. A G2P1 who has had one prior lower transverse cesarean section. C. A CS4 who has had three prior lower transverse cesarean sections. D. AG4P3 whose last baby was born at term gestation.

Correct Answer is C

Explanation

A CS4 who has had three prior lower transverse cesarean sections is at the highest risk for uterine rupture. The risk of uterine rupture increases with each subsequent cesarean section, and a history of three or more prior lower transverse cesarean sections is considered a significant risk factor for uterine rupture.

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A woman in labor has just received an epidural black. The most important nursing intervention is to:

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Naxlex Comprehensive Predictor Exams

During labor a fetus with an average heart rate of 135 beats/min over a 10-minute period would be considered to have:

Correct Answer is D

Explanation

Which of the following patients is most at risk for uterine rupture?

Correct Answer is C

Explanation

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