rock82
Posts : 101 Points : 212 Join date : 2009-06-11 Age : 40 Location : Jalandhar
| Subject: A 19-year-old woman, gravida 2, para 1, at 39 weeks' gestati Fri Jun 12, 2009 11:42 am | |
| A 19-year-old woman, gravida 2, para 1, at 39 weeks' gestation is admitted in labor. Contractions occur every 2 to 3 minutes. The cervix is 4 cm dilated and 80% effaced. She requests an epidural for pain control. Ten minutes after the epidural is administered, she becomes nauseated and diaphoretic and vomits. Her blood pressure is 60/palpable mm Hg. A fetal heart tracing shows sustained fetal decelerations. The cervix is now 8 cm dilated. The most appropriate next step in management is administration of which of the following?
A ) Ephedrine
B ) Magnesium sulfate
C ) Nifedipine
D ) Oxytocin
E ) Terbutaline | |
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