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

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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 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. Category 1 tracing B. Category 2 tracing C. Category 3 tracing D. Category 4 tracing

Correct Answer is A

Explanation

A. A Category 1 fetal heart rate tracing is considered normal, with a baseline FHR between 110-160 bpm, moderate variability, accelerations, and early decelerations, all of which are reassuring signs.

B. Category 2 tracings are indeterminate and would show a pattern of abnormal FHR, but not severe enough to be classified as Category 3.

C. Category 3 tracings are abnormal, characterized by absent variability and significant decelerations, suggesting fetal distress or other severe issues.

D. Category 4 is not a recognized category in fetal heart rate classification.

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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

You do a vaginal examination and you detect a prolapsed cord. Your number one nursing priority would be to:

Correct Answer is C

Explanation

The nurse is assessing a fetal heart rate tracing and notices a FHR of 155 bpm with moderate variability, accelerations, and early decelerations. The nurse will chart this a

Correct Answer is A

Explanation

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