08-06-2006, 07:38 AM
A 19-years-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. The 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 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