A laboring client is to be given an epidural for pain management in labor. Prior to the procedure, the physician orders a rapid intravenous infusion of 1000 cc of Lactated Ringer's solution. Which of the following statements best describes the purpose of this treatment regimen?
Restore fluid and electrolyte imbalance that has occurred during the labor process
Prevent dehydration, which may result from side effects of nausea and vomiting
Increase fetal heart rate variability prior to administering an anesthesia
Increase maternal blood volume to prevent hypotension
The Correct Answer is D
A. Restore fluid and electrolyte imbalance during labor
There's no evidence of electrolyte imbalance.
B. Prevent dehydration from N/V
Dehydration isn’t the key reason here.
C. Increase FHR variability before anesthesia
IV fluids don’t affect FHR variability directly.
D. Increase maternal blood volume to prevent hypotension
Hypotension is a common side effect of epidurals, and a fluid bolus helps prevent it.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Based on the image provided: The baby's head is down (cephalic or vertex presentation). The back of the baby's head (occiput) is pointing toward the mother's left and front (anterior).
Correct Answer is A
Explanation
A. "A distended bladder reduces the pelvic space needed for birth.”
A full bladder can impede fetal descent and interfere with uterine contractions.
B. "A full bladder decreases the risk for bladder infections.":
Frequent emptying helps prevent infection, but that’s not the primary reason during labor.
C. "A full bladder will be traumatized by frequent vaginal examinations":
Trauma can happen, but space for fetal descent is more critical.
D. "A full bladder increases the risk for trauma to the fetus.”
No direct trauma to fetus from bladder distension; this is inaccurate.
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