A primigravida dilated to 5 cm has just received an epidural for pain.She complains of feeling lightheaded and dizzy within 10 minutes after the procedure.
Her blood pressure before the procedure was 120/80 and is now 80/52. Which of the following medications is used in this situation?
Ergonovine maleate.
Epoetin.
Adrenaline.
Ephedrine.
The Correct Answer is D
Choice A rationale
Ergonovine maleate is used to treat postpartum hemorrhage by causing uterine contractions. It is not used to treat hypotension caused by epidural anesthesia.
Choice B rationale
Epoetin is a medication used to treat anemia by stimulating the production of red blood cells. It is not used to treat hypotension caused by epidural anesthesia.
Choice C rationale
Adrenaline (epinephrine) is used in emergency situations to treat severe allergic reactions, cardiac arrest, and severe asthma attacks. It is not the first-line treatment for hypotension caused by epidural anesthesia.
Choice D rationale
Ephedrine is a medication used to treat hypotension caused by epidural anesthesia. It increases blood pressure by stimulating the release of norepinephrine and improving cardiac output.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Increased fetal movement is normal and usually not a sign to head to the hospital unless there are other concerns.
Choice B rationale
Ruptured membranes can signify the beginning of labor or risk for infection, warranting a visit to the hospital for assessment.
Choice C rationale
Contractions that are 10 minutes apart typically indicate early labor, but not necessarily the need to go to the hospital immediately.
Choice D rationale
Mild abdominal or groin discomfort can occur during pregnancy and does not immediately warrant a hospital visit without other signs of labor.
Correct Answer is ["A","B","C","D"]
Explanation
Choice A rationale
Gestational age helps assess fetal development and potential complications. It is essential information for the provider to determine appropriate care and interventions.
Choice B rationale
Vaginal examination findings provide insight into cervical dilation, effacement, and station, which are critical for monitoring labor progress and making informed decisions about labor management.
Choice C rationale
Uterine contractions are a key indicator of labor progress. The frequency, duration, and intensity of contractions help the provider assess labor progression and plan necessary interventions.
Choice D rationale
Birthing parent's blood pressure is crucial for monitoring maternal well-being, especially in cases of pre-eclampsia or other hypertensive disorders. Elevated blood pressure can indicate complications that require immediate attention.
Choice E rationale
Birthing parent's report of pain, while important for comfort measures, is subjective and less critical for immediate clinical decision-making compared to the other findings.
Choice F rationale
Fetal heart rate monitoring provides essential information about the baby's well-being during labor. Abnormal heart rate patterns can indicate fetal distress and necessitate prompt intervention.
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