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 B

Explanation

Environmental health is concerned with the impact of environmental factors on human health, including physical, chemical, biological, and social factors. By improving environmental health in a community, we can decrease exposure to environmental hazards and reduce the incidence of environmentally related diseases, resulting in improved health outcomes.

One of the most important outcomes of environmental health interventions is increased life expectancy for the community. By reducing exposure to environmental hazards, such as air pollution, water pollution, and toxic chemicals, we can decrease the incidence of environmentally related diseases, such as respiratory disease, cancer, and neurological disorders. This, in turn, can increase life expectancy and improve the overall health of the community.

A. Inviting family members to visit the newborn. B. Wearing gloves when touching and holding the newborn. C. Washing their hands before touching the newborn. D. Avoiding direct contact with the newborn.

Correct Answer is C

Explanation

Hand hygiene is one of the most important infection prevention strategies in the NICU, and parents and visitors should be encouraged to wash their hands frequently, especially before touching the newborn. While wearing gloves can provide an additional barrier against infection, it is not a substitute for hand hygiene. Family members should be encouraged to visit and bond with their newborn, but they should be taught proper infection prevention measures to protect the infant's health. Avoiding direct contact with the newborn is not necessary as long as appropriate infection-prevention measures are taken.

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

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Naxlex Comprehensive Predictor Exams

Which of the following outcomes best describes the effect environmental health has had in our community?

Correct Answer is B

Explanation

The NICU nurse observes the parents of a newborn admitted two days ago for prematurity. The nurse knows infection prevention education has been effective when which observation is made:

Correct Answer is C

Explanation

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Educating a client about starting nifedipine (Procardia) for preterm labor prevention, the nurse knows that her educational plan for this client should include which of the following?

A pregnant woman's amniotic membranes rupture and a prolapsed umbilical cord is found. What intervention would be the first priority?

The most prevalent clinical manifestation of abruptio placentae (as opposed to placenta previa) is:

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