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","E","F"]
Explanation
A. The active stage of labor typically begins when cervical dilation is around 4 cm. LC’s dilation of 6 cm suggests that she is already in the active phase, but this is not confirmed based on this vaginal exam alone.
B. LC is not 80% dilated; the figure 6/80/-1 indicates 6 cm dilation, 80% effaced, and -1 station (fetal head is still above the ischial spines).
C. The fetal station of -1 indicates that the presenting part (head) is 1 cm above the pelvic outlet, which is consistent with this description.
D. The presenting part being 1 cm below the ischial spines would indicate a station of +1, which is not described here.
E. The cervix is 80% effaced, meaning it is more than halfway thinned, which is correct.
F. With a dilation of 6 cm, LC is in the active phase of labor, not the latent phase, but the question refers to the latent phase for comparison.
Correct Answer is B
Explanation
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.
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