You are caring for a patient who is having an epidural placed for pain during labor. Which medication should be kept in the room for easy access in case the patient has hypotension?
Calcium Gluconate
Ephedrine
Apresoline
Nifedipine
The Correct Answer is B
A. Calcium gluconate is used for hypocalcemia, not for treating hypotension.
B. Ephedrine is a vasopressor used to treat hypotension, which can occur as a side effect of epidural anesthesia by helping to increase blood pressure.
C. Apresoline is an antihypertensive and would not be appropriate for treating hypotension.
D. Nifedipine is a calcium channel blocker used for hypertension, not for treating hypotension related to epidural anesthesia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Sleeping for 6 consecutive hours is not ideal for a 6-day-old newborn, as they should be feeding every 2-3 hours to maintain hydration and adequate nutrition.
B. Breastfeeding every 4 to 5 hours for 5 minutes per breast is too infrequent and brief for a newborn who should be feeding more often and for longer durations.
C. Six to eight wet diapers per day is a good indicator that the newborn is getting enough breast milk, as this indicates appropriate hydration and feeding.
D. Gaining 1 to 2 ounces the first week is below the expected rate of weight gain, which should typically be about 5-7 ounces per week for a newborn.
Correct Answer is B, D, A, C
Explanation
Urine hCG is used to confirm pregnancy and is the first test performed. The maternal serum alpha-fetoprotein test is typically done around 15-20 weeks to screen for fetal abnormalities. The Glucose Tolerance Test (GTT) is typically performed between 24-28 weeks to screen for gestational diabetes. Group B beta strep testing is usually done between 35-37 weeks to screen for bacterial infection.
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