A laboring woman asks for IV pain medication. Which of the following patients would be a candidate for IV pain medication in labor? (Select all that apply)

A G3 P2 laboring patient with a current vaginal exam of 8/100%/0.

A G1 P0 laboring patient with a Category 1 strip and a current vaginal exam of 4/80 %/-1.

A G1 P0 laboring patient with the FHT showing no variability and late decelerations.

A G1 P0 laboring patient who has a vaginal exam of 5/100%/0 and contractions every 4 minutes. FHT's are 135 with moderate variability and no decelerations present

Fertilization

Blastosis

Answer and Explanation

Correct Answer : B,D

A. A G3 P2 laboring patient with a current vaginal exam of 8/100%/0: This patient is in advanced labor (transition phase) and IV pain medication is typically avoided due to the proximity to delivery, which could affect the newborn.

B. A G1 P0 laboring patient with a Category 1 strip and a current vaginal exam of 4/80%/-1: This patient is in active labor with normal fetal heart tracing, making her a suitable candidate for IV pain medication.

C. A G1 P0 laboring patient with the FHT showing no variability and late decelerations: This patient has non-reassuring fetal heart tracings, indicating potential fetal distress, making IV pain medication inappropriate as it could further compromise the fetus.

D. A G1 P0 laboring patient who has a vaginal exam of 5/100%/0 and contractions every 4 minutes: This patient is also in active labor with normal fetal heart tracings, making her a suitable candidate for IV pain medication.

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Correct Answer is ["A","C","D"]

Explanation

A. Hydrotherapy is a common natural pain relief method during labor, providing comfort through warm water immersion.

B. Leboyer refers to a method of delivery focused on gentler birth practices, but it does not directly address pain control during labor, so it is not typically included in natural childbirth pain management techniques.

C. Focal point with effleurage (gentle massage) is a technique to distract from pain and reduce discomfort during labor.

D. Frequent position changes can help relieve pressure and improve labor progress, offering natural pain management during childbirth.

A. A pulse of 132 is high and could be a sign of tachycardia, which is a known side effect of Terbutaline, potentially making the use of this medication unsafe. B. Uterine contractions (UCs) every 10 minutes do not indicate any immediate concern or contraindication for Terbutaline. C. A category 1 FHR is reassuring and would not contraindicate the use of Terbutaline.

Correct Answer is C

Explanation

A. While assessing blood pressure is important, the first priority is to address potential uterine atony, which is the most common cause of postpartum hemorrhage.

B. Bladder distention could be a contributing factor, but uterine massage is the first step to manage uterine tone and control bleeding.

C. Massaging the fundus is the first action to take when the patient is saturating a pad quickly after delivery, as this helps stimulate uterine contractions to control bleeding.

D. Preparing to administer oxytocic medication may be necessary if uterine massage does not effectively control bleeding, but it should come after assessing the uterus.

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A laboring woman asks for IV pain medication. Which of the following patients would be a candidate for IV pain medication in labor? (Select all that apply)

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Naxlex Comprehensive Predictor Exams

The nurse is teaching a childbirth preparation class. The nurse discusses options for natural childbirth to control discomfort during labor. Which of the following would be included in this discussion? (Select all that apply).

Correct Answer is ["A","C","D"]

Explanation

A. A blood pressure of 94/60 is low but not typically a contraindication for Terbutaline administration.

Correct Answer is C

Explanation

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