nbme 2 blk4 q24 - step2ck2010

[ArchivalUser]

24. 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

[ArchivalUser]

to me its sounds like shock.

i think it is A. well not sure though.

[ArchivalUser]

hypotension is known complication of epidural anasthesia so give ephdrine to rise his blood pressure

aaaa