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 A 19-year-old woman, gravida 2, para 1, at 39 weeks' gestati

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rock82



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PostSubject: 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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A 19-year-old woman, gravida 2, para 1, at 39 weeks' gestati
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