A nurse is caring for a client who is in labor and just received epidural anaesthesia. The client’s blood pressure is 90/50 mm Hg. Which of the following actions should the nurse take?

Turn the client onto their side

Initiate an amnioinfusion for the client

Administer naloxone to the client

Monitor the client’s blood pressure every 15 min

Answer and Explanation

The Correct Answer is A

A common side eﬀect of epidural anaesthesia is a drop in blood pressure. Turning the client onto their side can help improve blood ﬂow to the uterus and baby and may help raise the mother’s blood pressure.

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Correct Answer is A

Explanation

A nonstress test measures fetal heart rate in response to fetal movement. A reactive nonstress test result is when there are at least two accelerations of the fetal heart rate within a 20-minute period, each lasting at least 15 seconds and peaking at least 15 beats per minute above the baseline. If there are fewer than two accelerations within a 20-minute period, further diagnostic testing may be needed.

A. Abdominal distention B. Third-degree perineal laceration C. Vaginal candidiasis D. Afterpain

Correct Answer is B

Explanation

Constipation is a common postpartum issue due to decreased bowel motility, dehydration, and fear of pain during defecation. Suppositories are a common treatment option to help relieve constipation in postpartum clients. However, there are certain contraindications to the use of suppositories.

Option A, abdominal distention, is not a contraindication to the use of a suppository, as it can help relieve the distention and promote bowel movement.

Option C, vaginal candidiasis, is also not a contraindication to the use of a suppository. In fact, antifungal suppositories may be prescribed to treat the candidiasis.

Option D, afterpain, is not a contraindication to the use of a suppository, as afterpains are normal

postpartum contractions that occur as the uterus returns to its pre-pregnancy size.

Option B, third-degree perineal laceration, is a contraindication to the use of a suppository. The suppository can cause further trauma to the already injured perineal area and delay the healing process. In this case, alternative treatment options, such as stool softeners or laxatives, should be considered.

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A nurse is caring for a client who is in labor and just received epidural anaesthesia. The client’s blood pressure is 90/50 mm Hg. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing the results of a nonstress test for an antepartum client at 35 weeks of gestation. Which of the following findings should indicate to the nurse the need for further diagnostic testing?

Correct Answer is A

Explanation

A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation. Which of the following findings should the nurse identify as a contraindication to the use of a suppository?

Correct Answer is B

Explanation

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