NURS 4341 - Exam 2 Questions With Complete Solutions
An epidural is a
vasodilator
A patient is to receive 10mu/min of Pitocin. There
is 1000 mL Lactated Ringers with 30 units of
Pitocin. How many mL/hr should you set the pump?
20 ml/hr
A new patient has been admitted in labor. Here
vital signs are normal and the FHT are 140 with
moderate variability. The woman is 3/20/+1, and
she is asking for an epidural. An epidural will be
given when the CRNA is able to give it, in about 2
hours. A 500 ml bolus of lactated ringers is ordered
to be given over an hour. Why is the bolus
ordered?
A. To prevent dehydration since she will be NPO
until delivery.
B. To prevent hypotension from the epidural.
C. To hydrate the maternal fetal unit and prevent
decelerations during labor.
D. To prevent a spinal headache from occurring as
a result of the epidural.
B. To prevent hypotension from the epidural.
,A nurse is caring for a client who has severe
preeclampsia and is receiving magnesium sulfate
IV at 2 g/hr. Which of the following findings
indicates that it is safe for the nurse to continue
the infusion?
A. Diminished deep-tendon reflexes
B. Respiratory rate of 16/min
C. Urine output of 50 mL in 4hr
D. Heart rate of 56/min
B. Respiratory rate of 16/min
A mom with a molar pregnancy should wait how
long before trying to get pregnant? Why?
1 year; cancer develops at the same time as the
baby
A patient can receive an epidural only if
they can sit still
A patient should be _____ after receiving an
epidural.
tilted
What are some noninvasive therapeutic treatments
we can do for pain?
breathing exercises
position changes
, guided imagery
massage
Which gaseous option could be used to treat pain?
nitrous oxide
What is the advantage of using nitrous oxide for
pain?
does not cross the placental barrier
wears off quickly
IV pain management can be given every
2-4 hours
IV pain management should not be given
close to birth
What is the disadvantage of IV pain management?
crosses the placental barrier
affects the baby
What is the treatment for IV pain management
given too close to birth?
Narcan given to mom prior to birth
Narcan given to baby at birth
What are the possible effects of IV pain
management on the baby?
respiratory depression
Does Epidural cross the placenta?
An epidural is a
vasodilator
A patient is to receive 10mu/min of Pitocin. There
is 1000 mL Lactated Ringers with 30 units of
Pitocin. How many mL/hr should you set the pump?
20 ml/hr
A new patient has been admitted in labor. Here
vital signs are normal and the FHT are 140 with
moderate variability. The woman is 3/20/+1, and
she is asking for an epidural. An epidural will be
given when the CRNA is able to give it, in about 2
hours. A 500 ml bolus of lactated ringers is ordered
to be given over an hour. Why is the bolus
ordered?
A. To prevent dehydration since she will be NPO
until delivery.
B. To prevent hypotension from the epidural.
C. To hydrate the maternal fetal unit and prevent
decelerations during labor.
D. To prevent a spinal headache from occurring as
a result of the epidural.
B. To prevent hypotension from the epidural.
,A nurse is caring for a client who has severe
preeclampsia and is receiving magnesium sulfate
IV at 2 g/hr. Which of the following findings
indicates that it is safe for the nurse to continue
the infusion?
A. Diminished deep-tendon reflexes
B. Respiratory rate of 16/min
C. Urine output of 50 mL in 4hr
D. Heart rate of 56/min
B. Respiratory rate of 16/min
A mom with a molar pregnancy should wait how
long before trying to get pregnant? Why?
1 year; cancer develops at the same time as the
baby
A patient can receive an epidural only if
they can sit still
A patient should be _____ after receiving an
epidural.
tilted
What are some noninvasive therapeutic treatments
we can do for pain?
breathing exercises
position changes
, guided imagery
massage
Which gaseous option could be used to treat pain?
nitrous oxide
What is the advantage of using nitrous oxide for
pain?
does not cross the placental barrier
wears off quickly
IV pain management can be given every
2-4 hours
IV pain management should not be given
close to birth
What is the disadvantage of IV pain management?
crosses the placental barrier
affects the baby
What is the treatment for IV pain management
given too close to birth?
Narcan given to mom prior to birth
Narcan given to baby at birth
What are the possible effects of IV pain
management on the baby?
respiratory depression
Does Epidural cross the placenta?
