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 14 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
Wow, this really help

mjenn52

  • Member
  • Posts: 351
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

The tallest man ever known was Robert Wadlow, an American, who reached the height of 8 feet 11 inches. He died at age 26 years from an infection caused by the immense weight of his body (491 pounds) and the stress on his leg bones and muscles.

Did you know?

Long-term mental and physical effects from substance abuse include: paranoia, psychosis, immune deficiencies, and organ damage.

Did you know?

A serious new warning has been established for pregnant women against taking ACE inhibitors during pregnancy. In the study, the risk of major birth defects in children whose mothers took ACE inhibitors during the first trimester was nearly three times higher than in children whose mothers didn't take ACE inhibitors. Physicians can prescribe alternative medications for pregnant women who have symptoms of high blood pressure.

Did you know?

Although not all of the following muscle groups are commonly used, intramuscular injections may be given into the abdominals, biceps, calves, deltoids, gluteals, laterals, pectorals, quadriceps, trapezoids, and triceps.

Did you know?

Most fungi that pathogenically affect humans live in soil. If a person is not healthy, has an open wound, or is immunocompromised, a fungal infection can be very aggressive.

Lions mating in Ngorongoro Conservation Area, Tanzania Lions mating in Ngorongoro Conservation Area, Tanzania
When working with the patient with impaired hearing, the interpreter needs to direct questions to th When working with the patient with impaired hearing, the interpreter needs to direct questions to th
A reception area should be comfortable and bright. A reception area should be comfortable and bright.
Pneumonia patient’s chest x-ray. Note the irregular areas of density. Pneumonia patient’s chest x-ray. Note the irregular areas of density.
(a) Varicella zoster virus recurring as shingles, a painful rash limited to an area enervated by 1 ... (a) Varicella zoster virus recurring as shingles, a painful rash limited to an area enervated by 1 ...
Basic massage practice office area. Basic massage practice office area.
Video: Mycobacterium tuberculosis: Drug Resistance and Natural Selection

For a complete list of videos, visit our video library