Temp 98.6 (O)
Sp02 98% on RA
FHR 155 with minimal variability
Which of the following will you recommend for this patient? (Select all that apply)
Brethine (Terbutaline)
Pitocin 20 u in 500cc RL to run at125cc per hour
Misoprostol (Cytotec)
Betamethasone
Oxytocin (Pitocin)
IV Fluids
Correct Answer : D,F
A. Brethine (Terbutaline) is typically used for stopping premature labor but is not recommended for all patients as it can have side effects like tachycardia and decreased uterine contractions. The patient does not appear to need to stop labor immediately, and other interventions are more appropriate.
B. Pitocin (Oxytocin) is used to augment labor but is not indicated in a case of early labor unless there is a need to speed up contractions or induce labor after a period of observation.
C. Misoprostol (Cytotec) is a medication used to ripen the cervix, but it’s not appropriate here as the patient is only 2 cm dilated and doesn't show indications for labor induction.
D. Betamethasone is used to promote fetal lung maturity in cases of preterm labor. Given the patient is at 34 weeks, this would be an appropriate intervention.
E. Oxytocin (Pitocin) would only be used for augmentation or induction in a more advanced labor situation, and it's not needed at this stage.
F. IV Fluids are important in this case to maintain hydration and possibly prevent preterm labor, as dehydration can exacerbate contractions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is "{\"xRanges\":[72.828125,117.828125],\"yRanges\":[159.5,204.5]}"
Explanation
Correct Answer is C
Explanation
A. External version is not recommended in cases of placenta previa as it can cause hemorrhage or placenta separation.
B. External version is typically not performed in placenta previa because of the risk of bleeding or placental separation.
C. A breech presentation combined with placenta previa is a contraindication for external version, as attempting the version could cause severe complications.
D. The presence of a breech presentation, in this case, is not the primary reason for the inability to perform an external version. The main concern is placenta previa.
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