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?

Choice A rationale

Observing the perineum for signs of crowning is important, but it doesn’t address the immediate need to manage the client’s urge to push. By the time crowning is visible, delivery is imminent, and the urge to push should have been managed earlier.

Choice B rationale

Helping the client to the bathroom to void might relieve some pressure but is not the immediate priority when the client feels the urge to push. Voiding can wait until contractions are managed.

Choice C rationale

Assisting the client into a supine position is not ideal for managing the urge to push. A supine position can increase discomfort and does not facilitate optimal delivery dynamics.

Choice D rationale

Assisting the client with quick shallow breathing helps manage the urge to push and prevents premature pushing, reducing the risk of cervical injury and aiding controlled delivery.

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.