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NEW QUESTION: 1
A client has just received an epidural block. She is laboring on her right side. The nurse notes that her blood pressure has dropped from 132/68 to 78/42 mm Hg. The nurse's first action would be to:
A. Administer oxytocin (Pitocin) immediately and increase the rate of IV fluids
B. Turn her on her left side and recheck her blood pressure in 5 minutes
C. Call the physician immediately and give dopamine IM
D. Increase the rate of IV fluids and start O2 by mask
Answer: D
Explanation:
Explanation
(A) Nursing measures to support fetal oxygenation and promote maternal blood pressure would precede calling the physician. (B) Systolic pressures below 100 mm Hg or a reduction in the systolic pressure of>30% necessitate treatment. Assessing the blood pressure in 5 minutes may allow for further fetal and/or maternal compromise. Turning the client on her left side will promote uteroplacental perfusion and is appropriate. (C) Oxytocin (Pitocin) increases the strength of uterine contractions and may cause maternal hypotension; thus it is an inappropriate drug for use in this clinical situation. IV fluids would be increased to expand the circulating blood volume and promote increased blood pressure. (D) Turning the mother to her left lateral side promotes uteroplacental perfusion. IV fluids are administered to increase the circulating blood volume, and O2 is administered to promote fetal oxygenation and decrease the nausea accompanying the hypotension.

NEW QUESTION: 2
변경 제어 환경에서 다음 중 프로덕션 프로그램이 무단으로 변경될 가능성이 가장 높은 것은 무엇입니까?
A. 승인없이 RAD (Rapid Application Development) 방법론을 사용하는 개발자
B. 개발자가 승인없이 소스 코드를 체크 아웃
C. 승인없이 프로그램을 프로덕션으로 승격
D. 승인없이 소스 코드 수정
Answer: D

NEW QUESTION: 3
The fundamental theorem of analysis establishes a relation between
A. The derivative of a function and the slope of its graph
B. The derivative of a function and the derivative of its inverse function
C. Integration and differentiation of functions
D. First and second derivative of a function
Answer: C