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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
A. The length of time the infant is feeding is a factor in evaluating the effectiveness of breastfeeding.
B. Listening for swallowing during breastfeeding indicates that the infant is transferring milk effectively.
C. Asking about pain while feeding is important for assessing breastfeeding comfort, but it's not part of the LATCH score.
D. Nipple shape (inverted, flat, or everted) is part of the LATCH score, as it can impact latch and breastfeeding effectiveness.
E. Assessing for help at home with breastfeeding is important for support but is not part of the LATCH scoring system.
F. Use of a nipple shield is important for certain breastfeeding difficulties but is not part of the LATCH score.
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.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.