A woman in labor has just received an epidural black. The most important nursing intervention is to:

Monitor the maternal pulse for possible bradycardia

Monitor the maternal blood pressure for possible hypotension.

Monitor the fetus for possible tachycardia.

Limit parenteral fluids

Answer and Explanation

The Correct Answer is B

Epidural blocks are commonly used during labor to provide pain relief. However, they can also cause a sudden drop in blood pressure, known as epidural-induced hypotension, which can affect fetal oxygenation and fetal heart rate. Therefore, it is important to monitor maternal blood pressure frequently after an epidural block is administered.

While monitoring the maternal pulse is also important, hypotension is the most common complication of epidural anesthesia and can lead to decreased blood flow to the fetus. Therefore, monitoring maternal blood pressure is the priority.

Monitoring the fetus is also important, but it is not the most important intervention after an epidural block. Limiting parenteral fluids may be necessary in some cases to help prevent or treat hypotension, but it is not always necessary and should be done based on the individual situation.

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Correct Answer is D

Explanation

Magnesium sulfate is a medication commonly used to prevent and treat seizure activity in pregnant women with preeclampsia and eclampsia. It works by decreasing neuromuscular irritability and depressing the central nervous system.

A. Assessing fetal heart rate (FHR) and maternal vital signs B. Performing a venipuncture for hemoglobin and hematocrit levels C. Monitoring uterine contractions D. Placing clean disposable pads to collect any drainage

Correct Answer is A

Explanation

Assessing fetal heart rate (FHR) and maternal vital signs would be the highest priority nursing intervention when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy. This is because fetal distress or maternal instability may require immediate medical intervention, such as delivery via emergency cesarean section or blood transfusions, respectively.

Therefore, assessing the FHR and maternal vital signs will help to determine the urgency of the situation and guide the next steps in the management of the patient. Once the patient's condition has stabilized, performing venipuncture for hemoglobin and hematocrit levels, monitoring uterine contractions, and placing clean disposable pads to collect any drainage can be done as appropriate.

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A woman in labor has just received an epidural black. The most important nursing intervention is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is administering a magnesium sulfate infusion for a client with severe preeclampsia. The nurse knows that the goal of magnesium sulfate therapy is to:

Correct Answer is D

Explanation

What is the highest priority nursing intervention when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy?

Correct Answer is A

Explanation

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