A 3800 gram newborn was admitted to the neonatal intensive care unit at 39 weeks with meconium aspiration.

Metoclopramide 0.1 mg/kg every 12 hours was started. On hand is Metoclopramide 0.5 mg/ml.

What is the appropriate dose the RN will administer in ml in 12 hours?

Choice A rationale

Ergonovine maleate is used to treat postpartum hemorrhage by causing uterine contractions. It is not used to treat hypotension caused by epidural anesthesia.

Choice B rationale

Epoetin is a medication used to treat anemia by stimulating the production of red blood cells. It is not used to treat hypotension caused by epidural anesthesia.

Choice C rationale

Adrenaline (epinephrine) is used in emergency situations to treat severe allergic reactions, cardiac arrest, and severe asthma attacks. It is not the first-line treatment for hypotension caused by epidural anesthesia.

Choice D rationale

Ephedrine is a medication used to treat hypotension caused by epidural anesthesia. It increases blood pressure by stimulating the release of norepinephrine and improving cardiac output.

Choice A rationale

Premature rupture of the membranes refers to the breaking of the amniotic sac before labor starts. It is not a definitive indicator of true labor, as contractions and cervical changes need to accompany it to confirm labor onset.

Choice B rationale

Light irregular pattern of contractions is often associated with false labor or Braxton Hicks contractions. True labor contractions are typically regular, progressively stronger, and closer together.

Choice C rationale

3 station of the presenting part refers to the baby's descent into the pelvis. While it indicates labor progression, it is not the most definitive sign of true labor compared to cervical changes.

Choice D rationale

Progressive cervical dilation is the most reliable indicator of true labor. It signifies that the cervix is opening up in response to regular and effective contractions, indicating the body is preparing for childbirth.