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 55 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
Thanks for the timely response, appreciate it

vickybb89

  • Member
  • Posts: 347
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

The human body produces and destroys 15 million blood cells every second.

Did you know?

When intravenous medications are involved in adverse drug events, their harmful effects may occur more rapidly, and be more severe than errors with oral medications. This is due to the direct administration into the bloodstream.

Did you know?

The toxic levels for lithium carbonate are close to the therapeutic levels. Signs of toxicity include fine hand tremor, polyuria, mild thirst, nausea, general discomfort, diarrhea, vomiting, drowsiness, muscular weakness, lack of coordination, ataxia, giddiness, tinnitus, and blurred vision.

Did you know?

Over time, chronic hepatitis B virus and hepatitis C virus infections can progress to advanced liver disease, liver failure, and hepatocellular carcinoma. Unlike other forms, more than 80% of hepatitis C infections become chronic and lead to liver disease. When combined with hepatitis B, hepatitis C now accounts for 75% percent of all cases of liver disease around the world. Liver failure caused by hepatitis C is now leading cause of liver transplants in the United States.

Did you know?

The types of cancer that alpha interferons are used to treat include hairy cell leukemia, melanoma, follicular non-Hodgkin's lymphoma, and AIDS-related Kaposi's sarcoma.

When introduced into a new area, rabbits can overpopulate rapidly, becoming a nuisance, as on this u When introduced into a new area, rabbits can overpopulate rapidly, becoming a nuisance, as on this u
Defibrillator. Defibrillators are devices that supply a voltage charge to the heart in the hope of r Defibrillator. Defibrillators are devices that supply a voltage charge to the heart in the hope of r
The medical assistant escorts the patient into the examination room. The medical assistant escorts the patient into the examination room.
Reputable Websites for Patient Education Reputable Websites for Patient Education
The locations of human primary somatosensory cortex (SI) and one area of secondary somatosensory ... The locations of human primary somatosensory cortex (SI) and one area of secondary somatosensory ...
Koplik spots in the mouth of a patient with measles. Koplik spots in the mouth of a patient with measles.
Video: Digestive System Animation

For a complete list of videos, visit our video library