This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: The perinatal nurse prepares to assess the labor of a patient who is in the triage area with her ... (Read 64 times)

pane00

  • Hero Member
  • *****
  • Posts: 579
on: Jun 28, 2018
The perinatal nurse prepares to assess the labor of a patient who is in the triage area with her partner. She is contracting every 5 to 7 minutes and is very fearful about going home due to extreme fatigue and the distance to her house.
 
  The perinatal nurse determines that the patient is a fingertip dilated and50 effaced, and the cervix is anterior. The nurse might anticipate an order for what medication?
  A.
  Diphenhydramine (Benadryl)
  B.
  Lorazepam (Ativan)
  C.
  Promethazine (Phenergan)
  D.
  Secobarbitol sodium (Seconal)

Question 2

A woman is being prepared for an elective cesarean birth. The perinatal nurse assists the anesthesiologist with the spinal block and then positions the patient in a supine position.
 
  The patient's blood pressure drops to 90/52 mm Hg and there is a decrease in the fetal heart rate to 110 beats/minute. Which response by the nurse is best?
  A.
  Administer naloxone (Narcan) per protocol.
  B.
  Discontinue the patient's intravenous infusion.
  C.
  Have ephedrine ready for administration.
  D.
  Place a wedge under the patient's left hip.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

moormoney

  • Sr. Member
  • ****
  • Posts: 326
Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: D
Secobarbital is the most commonly used barbiturate in labor. It is a fast-acting oral agent that produces mild sedation within 15 minutes following administration, and its effects last for 3 to 4 hours. For this woman, who is not yet ready for admission and exhausted, prescribed rest would be of benefit.

Answer to Question 2

ANS: D
In the event of severe maternal hypotension, the nurse should place the patient in a lateral position or use a wedge under the hip to displace the uterus, elevate the legs, maintain or increase the IV infusion rate, and administer oxygen by face mask at 10 to 12 L/min, or according to institution protocol. Narcan is used to reverse the effects of opioids. Ephedrine would be the drug of choice for refractory hypotension if other measures don't work. The IV would not be discontinued.


pane00

  • Member
  • Posts: 579
Reply 2 on: Jun 28, 2018
Gracias!

scikid

  • Member
  • Posts: 300
Reply 3 on: Yesterday
Wow, this really help

« previous next »
 

Did you know?

In 2012, nearly 24 milliion Americans, aged 12 and older, had abused an illicit drug, according to the National Institute on Drug Abuse (NIDA).

Did you know?

Many people have small pouches in their colons that bulge outward through weak spots. Each pouch is called a diverticulum. About 10% of Americans older than age 40 years have diverticulosis, which, when the pouches become infected or inflamed, is called diverticulitis. The main cause of diverticular disease is a low-fiber diet.

Did you know?

There are more nerve cells in one human brain than there are stars in the Milky Way.

Did you know?

Amphetamine poisoning can cause intravascular coagulation, circulatory collapse, rhabdomyolysis, ischemic colitis, acute psychosis, hyperthermia, respiratory distress syndrome, and pericarditis.

Did you know?

Everyone has one nostril that is larger than the other.

Lion at Melbourne Zoo enjoying an elevated grassy area with some tree shelter Lion at Melbourne Zoo enjoying an elevated grassy area with some tree shelter
Female cheetah and cubs in the Ngorongoro Conservation Area Female cheetah and cubs in the Ngorongoro Conservation Area
Cystostomy. An artificial opening is made through the urinary bladder wall during this procedure. As Cystostomy. An artificial opening is made through the urinary bladder wall during this procedure. As
Preparing the Patient’s Skin for Surgical Procedures Preparing the Patient’s Skin for Surgical Procedures
Areas of sclerosis (see arrows) in the white matter of a patient with MS. Areas of sclerosis (see arrows) in the white matter of a patient with MS.
Primary motor area of cerebral cortex Primary motor area of cerebral cortex
Video: Neuron Type Animation

For a complete list of videos, visit our video library