A primigravida arrived at 0400 to labor and delivery complaining of painful contractions. The client reports irregular contractions since 2000 and is unable to sleep. On examination, the patient's cervical finding is fingertip and 50% effaced. The patient is admitted for therapeutic rest. The nurse anticipates the provider will order what medication.
Misoprostol
Oxytocin
A barbiturate
Fentanyl
The Correct Answer is C
A. Misoprostol – Incorrect; this is a cervical ripening agent used for labor induction, not for therapeutic rest.
B. Oxytocin – Incorrect; oxytocin is used to stimulate labor contractions, not to promote rest.
C. A barbiturate – Correct; barbiturates (e.g., secobarbital) or other sedatives are used for therapeutic rest in clients experiencing prodromal labor with no cervical progression.
D. Fentanyl – Incorrect; fentanyl is a short-term opioid analgesic but does not promote restful sleep.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Fundus soft, 2 fingerbreadths below the umbilicus – Incorrect; the fundus should be firm, not soft, to prevent postpartum hemorrhage.
B. Fundus firm, 2 fingerbreadths above the umbilicus – Incorrect; a fundus above the umbilicus at 12 hours may indicate bladder distension or uterine atony.
C. Fundus soft, to the right of the umbilicus – Incorrect; a deviated and soft fundus suggests bladder distension, requiring intervention.
D. Fundus firm, at the level of the umbilicus – Correct; at 12 hours postpartum, the fundus should be firm and at the level of the umbilicus, gradually decreasing in height each day.
Correct Answer is C
Explanation
A. "Epidurals are best because they provide complete pain relief." – Incorrect; while epidurals provide significant pain relief, they may not be the best option for every client.
B. "Most women need IV pain medications at some point during labor." – Incorrect; pain management is individualized, and not all women require IV pain medication.
C. "It is best to learn about the different types of pain relief available, as every woman experiences labor pain differently." – Correct; pain relief options should be tailored to the individual's preferences and medical condition.
D. "There is no one best way. However, natural childbirth is best for the baby." – Incorrect; while natural childbirth is an option, it is not necessarily the best choice for everyone.
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