04-20-2008, 05:01 PM
9. 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
A
) Ephedrine
B
) Magnesium sulfate
C
) Nifedipine
D
) Oxytocin
E
) Terbutaline