You are caring for a patient who is having an epidural placed for pain during labor. Which medication should be kept in the room for easy access in case the patient has hypotension?

Calcium Gluconate

Ephedrine

Apresoline

Nifedipine

Answer and Explanation

The Correct Answer is B

A. Calcium gluconate is used for hypocalcemia, not for treating hypotension.

B. Ephedrine is a vasopressor used to treat hypotension, which can occur as a side effect of epidural anesthesia by helping to increase blood pressure.

C. Apresoline is an antihypertensive and would not be appropriate for treating hypotension.

D. Nifedipine is a calcium channel blocker used for hypertension, not for treating hypotension related to epidural anesthesia.

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Correct Answer is C

Explanation

A. While positioning the patient in a knee-chest position may help, the immediate priority is to relieve pressure on the cord.

B. Administering oxygen is important but does not address the primary issue of cord compression.

C. The number one priority in managing a prolapsed cord is to relieve pressure on the cord and prevent fetal hypoxia. The nurse should manually elevate the presenting part of the fetus to reduce cord compression.

D. Obtaining consent for a C-section is important but not the immediate priority in managing a prolapsed cord.

A. Genetic testing when the babies are delivered will need to be done to determine this. B. They are dizygotic because the ultrasound shows one is bigger than the other. C. The twins are dizygotic because they are not the same sex D. They are monozygotic because they are in different amniotic sacs.

Correct Answer is C

Explanation

A. Genetic testing is not necessary to determine if the twins are identical. Identical twins come from the same egg, while fraternal twins come from separate eggs.

B. The size difference alone does not determine whether twins are identical or fraternal.

C. Dizygotic twins (fraternal twins) are always of different sexes. This is because they are fertilized by two separate sperm and develop from two separate eggs.

D. Monozygotic twins (identical twins) occur when one fertilized egg splits into two embryos. The fact that they are different sexes rules out the possibility of monozygotic twins.

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You are caring for a patient who is having an epidural placed for pain during labor. Which medication should be kept in the room for easy access in case the patient has hypotension?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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