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 C

Explanation

Hand hygiene is one of the most important infection prevention strategies in the NICU, and parents and visitors should be encouraged to wash their hands frequently, especially before touching the newborn. While wearing gloves can provide an additional barrier against infection, it is not a substitute for hand hygiene. Family members should be encouraged to visit and bond with their newborn, but they should be taught proper infection prevention measures to protect the infant's health. Avoiding direct contact with the newborn is not necessary as long as appropriate infection-prevention measures are taken.

A. Continue routine prenatal care. B. Be referred to an endocrinologist. C. Be diagnosed with Type II diabetes. D. Be referred to a dietician.

Correct Answer is B

Explanation

In some cases, an endocrinologist may also be involved in the management of gestational diabetes. The nurse can anticipate that the client will be diagnosed with gestational diabetes and will be referred to a dietician for dietary modifications and glucose monitoring during the remainder of her pregnancy. Regular prenatal care will also continue, and the healthcare provider may adjust the treatment plan based on the client's individual needs.

However, a diagnosis of Type II diabetes would not be made solely based on a failed GTT during pregnancy, as gestational diabetes is a temporary condition that usually resolves after delivery.

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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

The NICU nurse observes the parents of a newborn admitted two days ago for prematurity. The nurse knows infection prevention education has been effective when which observation is made:

Correct Answer is C

Explanation

A client has completed the 3-hour oral glucose tolerance test (GTT) after failing the initial screening. The nurse notes the client has failed the 2-hour and 3-hour tests. The nurse anticipates that the client will:

Correct Answer is B

Explanation

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