A primigravida dilated to 5 cm will receive an epidural for pain.
Which of the following interventions will help prevent hypotension in the patient?
Administering epinephrine before the procedure.
Positioning client on her back prior to the procedure.
Having her eat a carbohydrate snack prior to the procedure.
Administering a bolus of 0.9% Normal saline IV fluid before the procedure.
The Correct Answer is D
Choice A rationale
Administering epinephrine before the procedure is not standard practice to prevent hypotension associated with epidurals. Epinephrine is used in emergency situations to treat severe allergic reactions or cardiac arrest, not for preventing epidural-induced hypotension.
Choice B rationale
Positioning the client on her back prior to the procedure is not recommended, as it can exacerbate hypotension due to compression of the inferior vena cava by the gravid uterus. This position can decrease venous return to the heart and reduce cardiac output.
Choice C rationale
Having the patient eat a carbohydrate snack prior to the procedure is not a standard intervention to prevent hypotension during an epidural. Dietary intake does not directly prevent the vasodilatory effects of the epidural anesthesia.
Choice D rationale
Administering a bolus of 0.9% Normal saline IV fluid before the procedure is the correct intervention to prevent hypotension. Preloading with IV fluids increases intravascular volume, counteracting the vasodilation and potential drop in blood pressure caused by the epidural anesthesia. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
High blood glucose levels in early pregnancy increase the risk of congenital heart defects in the baby.
Choice B rationale
Hip dysplasia is not directly associated with maternal diabetes but can be a congenital condition regardless of maternal glucose control.
Choice C rationale
Necrotizing enterocolitis is more related to prematurity and not directly linked to maternal diabetes.
Choice D rationale
Port wine stains are vascular birthmarks and are not associated with maternal blood glucose levels. .
Correct Answer is A
Explanation
Choice A rationale
Dyspnea, or difficulty breathing, is a serious adverse effect of terbutaline that should be reported to the provider. Terbutaline can cause bronchospasm and pulmonary edema, leading to respiratory distress.
Choice B rationale
Headaches are a common side effect of terbutaline but are not considered a serious adverse effect that requires immediate reporting to the provider.
Choice C rationale
Nervousness is a common side effect of terbutaline and is usually mild. It does not require immediate reporting to the provider unless it becomes severe.
Choice D rationale
Tremors are a common side effect of terbutaline and are usually mild. They do not require immediate reporting to the provider unless they become severe.
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